Individual provider Active NPI

Allen Vincent Hurt, M.D.

  • General Practice Physician
  • Hobbs, NM
National Provider Identifier
1770570749
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
80-182 Issued in NM
Practice address
2410 N Fowler St
Hobbs, NM 88240-2312
Phone
(575) 392-2040
Fax
(575) 392-7378
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 80-182 NM Primary

Addresses

Primary practice location

2410 N Fowler St
Hobbs, NM 88240-2312

Mailing address

2410 N Fowler St
Hobbs, NM 88240-2312
Phone (575) 392-2040

Other identifiers 1

IdentifierTypeStateIssuer
82628254MedicaidNM

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
I20040203000136 NM Practitioner - General PracticePractitioner - Emergency Medicine 0547153819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Washington University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Medical Group, Inc.Group PAC ID 2961453402, 11 clinicians

Practice addresses (Care Compare)

2410 N Fowler St
Hobbs, NM 88240-2312
Phone (575) 392-2040

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
86.62
Improvement activities
40
Cost
81.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Group Inc. General Practice CurrentSince Sep 13, 2004 Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Briarwood Clinic, LLC PastSince Nov 12, 2015 Accepting new patients
Hobbs Open MRI Limited Partnership PastSince Nov 20, 2006 Accepting new patients
Roswell Hospital Corporation Past Accepting new patients

Locations

2410 N Fowler St
Ste B
Hobbs, NM 88240
Phone (505) 392-2040

2410 N Fowler St
Hobbs, NM 88240
Phone (505) 392-2040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1770570749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402312",
            "telephone_number": "575-392-2040",
            "fax_number": "575-392-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402312",
            "telephone_number": "575-392-2040",
            "fax_number": "575-392-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "ALLEN",
        "middle_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "80-182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82628254",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.