NPIMap

Organization Active NPI

Neurology Associates of Mesilla Valley PC

  • Neurology Physician
  • Las Cruces, NM
National Provider Identifier
1760476139
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
92256 Issued in NM
Legal business name
NEUROLOGY ASSOCIATES OF MESILLA VALLEY PC
Practice address
3855 Foothills Drive
Las Cruces, NM 88011
Phone
(575) 532-8561
Fax
(575) 532-8567
NPI assigned
Aug 31, 2005
Last updated
Sep 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUROLOGY ASSOCIATES OF MESILLA VALLEY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Javed Iqbal, MDNPI 1235123605
Title
Owner/President
Phone
(575) 532-8561

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 92256 NM Primary
Neurology Physician 2084N0400X K2499 TX

Addresses

Primary practice location

3855 Foothills Drive
Las Cruces, NM 88011

Mailing address

3855 Foothills Drive
Las Cruces, NM 88011
Phone (575) 532-8561

Other identifiers 2

IdentifierTypeStateIssuer
F0584MedicaidNM
K1326MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000524 NM Part B Supplier - Clinic/Group Practice 7214824721 Receives reassigned benefits from 2 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory
Tax ID family
Neurology Associates of2 organizations share this tax ID, including this one
Part of
Neurology Associates of

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2905 Hillrise Dr
Las Cruces, NM 88011
Phone (505) 532-8531

3855 Foothills Rd
Las Cruces, NM 88011
Phone (575) 386-5254

Interoperability endpoints

  • Direct secure messaging: javediqbal@namv.allscriptsdirect.net

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1760476139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 FOOTHILLS DRIVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-532-8561",
            "fax_number": "575-532-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 FOOTHILLS DRIVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-532-8561",
            "fax_number": "575-532-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF MESILLA VALLEY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROLOGY ASSOCIATES OF MESILLA VALLEY PC",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "JAVED",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "575-532-8561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "92256",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K2499",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F0584",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K1326",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.