Individual provider Active NPI

Frank J Dimotta, M.D.

  • Family Medicine Physician
  • Ruidoso, NM
National Provider Identifier
1699740910
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000-25 Issued in NM
Practice address
208 Porr Dr
Ruidoso, NM 88345-6713
Phone
(575) 630-1214
Fax
(575) 630-2083
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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 2000-25 NM Primary

Addresses

Primary practice location

208 Porr Dr
Ruidoso, NM 88345-6713

Mailing address

303 W Country Club Rd
Roswell, NM 88201-5892
Phone (575) 623-1442

Other identifiers 1

IdentifierTypeStateIssuer
72884MedicaidNM

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
I20100422000536 NM Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8022196377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Solutions PAGroup PAC ID 7315836574, 13 clinicians

Practice addresses (Care Compare)

1680 Calle de Alvarez
Suite B
Las Cruces, NM 88005-3821
Phone (575) 524-3346

208 Porr Dr
Ruidoso, NM 88345-6713
Phone (575) 630-1214

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Ruidoso, NM, CCN 327178
  • Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Solutions PA Family Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

1680 Calle de Alvarez
Ste B
Las Cruces, NM 88005
Phone (575) 524-3346

208 Porr Dr
Ruidoso, NM 88345
Phone (575) 315-2256

Interoperability endpoints

  • Direct secure messaging: frank.dimotta.1@23925.direct.athenahealth.com

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 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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1699740910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015892",
            "telephone_number": "575-623-1442",
            "fax_number": "575-623-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PORR DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456713",
            "telephone_number": "575-630-1214",
            "fax_number": "575-630-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOTTA",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2000-25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72884",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

Verify at the official NPI Registry.