Individual provider Active NPI

Aemon Rowan Techeira, MD

  • Diagnostic Radiology Physician
  • Hobbs, NM
National Provider Identifier
1770609190
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20020122 Issued in NM
Practice address
5419 N Lovington Hwy
Hobbs, NM 88240-9131
Phone
(575) 492-5063
Fax
(575) 492-5151
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20020122 NM Primary

Addresses

Primary practice location

5419 N Lovington Hwy
Hobbs, NM 88240-9131

Mailing address

PO Box 787
Hobbs, NM 88241-0787
Phone (575) 532-7000

Other identifiers 1

IdentifierTypeStateIssuer
257076900MedicaidNM

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
I20040520000754 NM Practitioner - Diagnostic Radiology 0244221034 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Morehouse School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5419 N Lovington Hwy
Hobbs, NM 88240-9100
Phone (505) 392-6581

5419 N Lovington Hwy
Hobbs, NM 88240-9131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20020122NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miners Colfax Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Apr 27, 2022 Accepting new patients
Dr Aemon R Techeira LLC Diagnostic Radiology CurrentSince Aug 15, 2004 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Miners Colfax Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Las Cruces Imaging LLC Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients

Locations

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

5419 N Lovington Hwy
Hobbs, NM 88240
Phone (505) 492-5000

203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

Organizations & group practices 8

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 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1770609190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882410787",
            "telephone_number": "575-532-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409131",
            "telephone_number": "575-492-5063",
            "fax_number": "575-492-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECHEIRA",
        "first_name": "AEMON",
        "middle_name": "ROWAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "20020122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257076900",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.