Benjamin Amire-Brahimi, MD
Individual provider Active NPI Internal Medicine Physician · Farmington, NM
NPI 1770018384 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1770018384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD2020-0342 (NM)
- Practice address
- 801 W Maple St
Farmington, NM 87401-5630 - Phone
- (505) 609-2000
- NPI assigned
- Apr 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Juan Regional Medical Center, Inc.
Practice addresses (Care Compare)
4820 E Main St
Farmington, NM 87402-8660
801 W Maple St
Farmington, NM 87401-5630
Hospital & facility affiliations
- San Juan Regional Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 79.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.23 of 100
- Quality
- 87
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200727000046 | NM | Practitioner - Internal Medicine | 4082978564 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Current |
Accepting new patients |
| San Juan Regional Medical Center Inc | Current |
Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Current |
Accepting new patients |
| San Juan Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
Interoperability endpoints
- bamirebrahimi243480@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R76077 | AZ | |
| Internal Medicine Physician | 207R00000X | MD2020-0342 | NM | Yes |
Addresses
Primary practice location
801 W Maple St
Farmington, NM 87401-5630
Mailing address
130 Mimosa PL Apt C
Lafayette, LA 70506-6166
Phone (337) 356-9385
Other practice location 1
130 Mimosa Pl Apt C
Lafayette, LA 70506-6166
Phone (337) 356-9385
Other providers in Farmington, NM
- Valoree Jean Althoff
- Catherine A Ambrose
- Amdon Innovations LTD
- Theresa Susanne Ameri
- Amikids Sandoval, Inc.
- Amplified Home Visiting LLC
- Marisha Anagal
- Ancient of Days Psychiatry
- Carrie Anderson Williams
- Christian Reed Anderson
All providers in Farmington, NM · Internal Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.