Organization Active NPI

Lyle B Amer MD PC

  • Rheumatology Physician
  • Santa Fe, NM
National Provider Identifier
1699079590
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
NM87-202 Issued in NM
Legal business name
LYLE B AMER MD PC
Practice address
2212 Brothers Rd
Santa Fe, NM 87505-6903
Phone
(505) 983-9460
Fax
(505) 983-0568
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Lyle B Amer, MDNPI 1386794162
Title
Owner
Phone
(505) 983-9460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X NM87-202 NM Primary

Addresses

Primary practice location

2212 Brothers Rd
Santa Fe, NM 87505-6903

Mailing address

2212 Brothers Rd
Santa Fe, NM 87505-6903
Phone (505) 983-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110217000396 NM Part B Supplier - Clinic/Group Practice 6103007687 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1699079590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 BROTHERS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056903",
            "telephone_number": "505-983-9460",
            "fax_number": "505-983-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 BROTHERS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056903",
            "telephone_number": "505-983-9460",
            "fax_number": "505-983-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE B AMER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "AMER",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-983-9460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "NM87-202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.