Kavitha Kirubanandan, M.D
Individual provider Active NPI Family Medicine Physician · Hobbs, NM
NPI 1649701129 · NPPES record last updated Jul 14, 2020
Key facts
- NPI
- 1649701129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD2019-0841 (NM)
- Practice address
- 1923 N Dal Paso St
Hobbs, NM 88240-3023 - Phone
- (575) 433-3000
- NPI assigned
- Mar 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nor-Lea Hospital District
Practice addresses (Care Compare)
1600 N Main
Lovington, NM 88260-2813
1600 N Main Ave
Lovington, NM 88260-2813
Phone 57539666115303
515 E Main St
Hobbs, NM 88240-8119
Phone (575) 397-0560
Hospital & facility affiliations
- Excelacare Home Health
- Elite Home Health, LLC
- Nor-Lea Hospital District
- Covenant Health Hobbs Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200820003757 | NM | Practitioner - Family Practice | 6002187689 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nor-Lea Hospital District | Current |
Accepting new patients | |
| Nor-Lea Hospital District | Current |
Accepting new patients |
Locations
1923 N Dal Paso St
Ste A
Hobbs, NM 88240
Phone (575) 433-3000
515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560
1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611
1600 N Main Ave
Ste A
Lovington, NM 88260
Phone (505) 396-3529
Interoperability endpoints
- kkirubanandan166022@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2019-0841 | NM | Yes |
Addresses
Primary practice location
1923 N Dal Paso St
Hobbs, NM 88240-3023
Mailing address
1600 N Main Ave
Lovington, NM 88260-2813
Phone (575) 396-6611
Other practice location 1
1600 N Main Ave
Lovington, NM 88260-2813
Phone (575) 433-3000
Other practice location 2
Msc 09 5040
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6607
Other providers in Hobbs, NM
- Loretta L King
- Tabitha King
- Kingdom Home Care Agency LLC
- Kailey Kirkes
- Kennedy Roan Kirkpatrick
- Kimberlee Kistler
- Darla Kiziah
- Gregg P Klear
- Valerie Kleespies
- Lauren Knudsen
All providers in Hobbs, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.