Individual provider Active NPI

Debra Draluck, MD

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1710970173
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2001-176 Issued in NM
Practice address
271 Paseo de Dia Ste 1a
Las Cruces, NM 88011-7341
Phone
(575) 323-6500
Fax
(575) 323-6501
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 2001-176 NM Primary

Addresses

Primary practice location

271 Paseo de Dia Ste 1a
Las Cruces, NM 88011-7341

Mailing address

2496 Ricker Road
El Paso, TX 79920
Phone (915) 742-6007

Other identifiers 1

IdentifierTypeStateIssuer
79978011MedicaidNM

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
I20040406000717 NM Practitioner - Family Practice 9931192952 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-176NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Oct 31, 2022 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Oct 31, 2022 Accepting new patients
Wellmed Medical Group, PA Family Medicine Past Accepting new patients

Locations

271 Paseo de Dia
Ste 1A
Las Cruces, NM 88011
Phone (575) 323-6500

Interoperability endpoints

  • Direct secure messaging: debra.draluck@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1710970173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 RICKER ROAD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79920",
            "telephone_number": "915-742-6007",
            "fax_number": "915-742-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PASEO DE DIA STE 1A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117341",
            "telephone_number": "575-323-6500",
            "fax_number": "575-323-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRALUCK",
        "first_name": "DEBRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2001-176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79978011",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.