Las Cruces Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2010-0103 Issued in NM

Legal business name

LAS CRUCES FAMILY MEDICINE LLC

Practice address

2930 Hillrise Dr
Suite 2
Las Cruces, NM 88011-4776

Phone

(575) 532-1111

Fax

(575) 532-1122

NPI assigned

Jul 1, 2010

Last updated

Apr 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Imran Raza, M.D.NPI 1336318591

Title

M.D./Owner

Phone

(575) 532-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Imran Raza, MD

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1336318591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1700197001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR",
            "address_2": "SUITE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-532-1111",
            "fax_number": "575-532-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR",
            "address_2": "SUITE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-532-1111",
            "fax_number": "575-532-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "575-532-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2010-0103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53376081",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Las Cruces Dermatology Associates P.C.
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• Las Cruces Emergency Medical Associates Inc
• Las Cruces Endodontics
• Las Cruces Endoscopy, LLC (Endoscopy Center of Las Cruces)
• Las Cruces HB Medical Services LLC
• Las Cruces HB Medical Services LLC (MountainView Regional Medical Center)
• Las Cruces Home Care Services, LLC (Mountain View Regional Home Health)
• Las Cruces Home Therapies
• Las Cruces Hospice, LLC

• Family Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.