Individual provider Active NPI

Karl P. Koerper, MD

  • Anesthesiology Physician
  • Las Cruces, NM
National Provider Identifier
1760458459
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
92-88 Issued in NM
Practice address
205 W Boutz Rd
BLDG #1
Las Cruces, NM 88005-3262
Phone
(575) 532-7000
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 92-88 NM Primary

Addresses

Primary practice location

205 W Boutz Rd
BLDG #1
Las Cruces, NM 88005-3262

Mailing address

205 W Boutz Rd
BLDG #1
Las Cruces, NM 88005-3262
Phone (575) 532-7000

Other identifiers 3

IdentifierTypeStateIssuer
3015MedicaidNM
050051005OtherRR MEDICARE
NM003144OtherNMBCBS OF NM

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
I20100527000554 NM Practitioner - Anesthesiology 5395723670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Crosses Regional Hospital LLCGroup PAC ID 1254758667, 62 clinicians

Practice addresses (Care Compare)

2550 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (800) 421-8274

2560 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (575) 800-3868

Hospital & facility affiliations

  • Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Three Crosses Anesthesia LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Three Crosses Regional Hospital LLC CurrentSince Jan 9, 2021 Accepting new patients

Locations

2550 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 522-7247

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1760458459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD",
            "address_2": "BLDG #1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053262",
            "telephone_number": "575-532-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD",
            "address_2": "BLDG #1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053262",
            "telephone_number": "575-532-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERPER",
        "first_name": "KARL",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "92-88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050051005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM003144",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.