Individual provider Active NPI

Cipry Lenore Jaramillo, MD

  • Family Medicine Physician
  • Taos, NM
National Provider Identifier
1659338051
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98-296 Issued in NM
Practice address
1397 Weimer Rd
Taos, NM 87571-2199
Phone
(505) 758-8883
Fax
(505) 751-5718
NPI assigned
Apr 28, 2006
Reactivated
Aug 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98-296 NM Primary

Addresses

Primary practice location

1397 Weimer Rd
Taos, NM 87571-2199

Mailing address

PO Box DD
Taos, NM 87571-2199
Phone (505) 758-8883

Other identifiers 1

IdentifierTypeStateIssuer
77871MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719001084 NM Practitioner - HospitalistPractitioner - Family Practice 4789611963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of New Mexico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
86.32
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-296NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Professional Services, LLC CurrentSince Jan 1, 2013 Accepting new patients
Taos Professional Services,LLC CurrentSince Jan 1, 2013 Accepting new patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Jun 8, 2005 Accepting new patients
Taos Health Systems Inc Holy Cross CurrentSince Jun 8, 2005 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

630 Paseo del Pueblo Sur
Ste 150
Taos, NM 87571
Phone (505) 758-3005

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1659338051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX DD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875712199",
            "telephone_number": "505-758-8883",
            "fax_number": "505-751-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875712199",
            "telephone_number": "505-758-8883",
            "fax_number": "505-751-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "CIPRY",
        "middle_name": "LENORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-08-21",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "98-296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77871",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.