Individual provider Active NPI

Audrey Vega, MD

  • Family Medicine Physician
  • Roswell, NM
National Provider Identifier
1659368256
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95-151 Issued in NM
Practice address
350 W Country Club Rd Ste 101
Roswell, NM 88201-5222
Phone
(575) 622-1841
Fax
(575) 622-5317
NPI assigned
Sep 29, 2005
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 95-151 NM Primary

Addresses

Primary practice location

350 W Country Club Rd Ste 101
Roswell, NM 88201-5222

Mailing address

350 W Country Club Rd Ste 101
Roswell, NM 88201-5222
Phone (575) 622-1841

Other practice location 1

350 W Country Club Rd
Suite#201
Roswell, NM 88201-5205
Phone (575) 622-1841

Other identifiers 2

IdentifierTypeStateIssuer
E8609MedicaidNM
NPI & TINOtherNMBCBS OF NM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address audrey.vega.1@1610.direct.athenahealth.com

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
I20040702000299 NM Practitioner - Family Practice 2961489406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roswell Clinic CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

350 W Country Club Rd
101 Agave Senior Care and Wellness
Roswell, NM 88201-5222
Phone (575) 624-5622

601 W Country Club Rd
Suite 101
Roswell, NM 88201-5227
Phone (575) 622-8170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95-151NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Clinic Corp CurrentSince Jun 1, 2004 Accepting new patients
Roswell Clinic Corp Family Medicine CurrentSince Jun 1, 2004 Accepting new patients
New Mexico Heart Institute, LLC Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients

Locations

350 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-1841

350 W Country Club Rd
Ste 201
Roswell, NM 88201
Phone (575) 622-1841

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

Organizations & group practices 4

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 6

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1659368256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W COUNTRY CLUB RD STE 101",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015222",
            "telephone_number": "575-622-1841",
            "fax_number": "575-622-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COUNTRY CLUB RD STE 101",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015222",
            "telephone_number": "575-622-1841",
            "fax_number": "575-622-5317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Country Club Rd",
            "address_2": "Suite#201",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015205",
            "country_code": "US",
            "telephone_number": "575-622-1841",
            "fax_number": "575-622-5317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "AUDREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95-151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E8609",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NPI & TIN",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey.vega.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "350 W Country Club Rd Ste 101",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.