Individual provider Active NPI

Lucia T Corro, MD

  • Nephrology Physician
  • Las Cruces, NM
National Provider Identifier
1669472254
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD2004-0025 Issued in NM
Practice address
2930 Hillrise Dr
Suite # 5
Las Cruces, NM 88011-4776
Phone
(575) 521-0008
Fax
(575) 521-0063
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD2004-0025 NM Primary

Addresses

Primary practice location

2930 Hillrise Dr
Suite # 5
Las Cruces, NM 88011-4776

Mailing address

2930 Hillrise Dr
Suite 5
Las Cruces, NM 88011-4776
Phone (575) 521-0008

Other identifiers 1

IdentifierTypeStateIssuer
49634216MedicaidNM

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
I20040305000621 NM Practitioner - NephrologyPractitioner - Internal Medicine 8022906692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2930 Hillrise Dr
Suite 5
Las Cruces, NM 88011-4776
Phone (575) 521-0008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Medicine of Las Cruces LLC Nephrology CurrentSince Jan 31, 2010 Accepting new patients

Locations

2801 Missouri Ave
Ste 9
Las Cruces, NM 88011
Phone (575) 323-3193

2930 Hillrise Dr
Ste 5
Las Cruces, NM 88011
Phone (575) 521-0008

Organizations & group practices 1

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

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1669472254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-521-0008",
            "fax_number": "575-521-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR",
            "address_2": "SUITE # 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-521-0008",
            "fax_number": "575-521-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRO",
        "first_name": "LUCIA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2004-0025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49634216",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.