Individual provider Active NPI

Richard Carl Mooney, MD

  • Obstetrics & Gynecology Physician
  • Roswell, NM
National Provider Identifier
1790738912
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
85-73 Issued in NM
Practice address
305 W Country Club Rd
Roswell, NM 88201-5892
Phone
(575) 622-6322
Fax
(575) 622-6888
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 85-73 NM Primary

Addresses

Primary practice location

305 W Country Club Rd
Roswell, NM 88201-5892

Mailing address

PO Box 2608
Roswell, NM 88202-2608
Phone (575) 622-6322

Other identifiers 1

IdentifierTypeStateIssuer
35774MedicaidNM

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
I20100804000380 NM Practitioner - Obstetrics/Gynecology 1456332733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rio Pecos Medical Associates LTDGroup PAC ID 5597746875, 10 clinicians

Practice addresses (Care Compare)

305 W Country Club Rd
Roswell, NM 88201-5892
Phone (575) 622-6322

Hospital & facility affiliations

  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
  • Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85-73NMMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Pecos Medical Associates LTD Obstetrics & Gynecology CurrentSince Aug 1, 1988 Accepting new patients
Roswell Hospital Corporation Past Accepting new patients

Locations

509 W Mahone Dr
Ste B
Artesia, NM 88210
Phone (505) 748-0203

305 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-6322

305 W Country Club Rd
Ste 3
Roswell, NM 88201

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1790738912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2608",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882022608",
            "telephone_number": "575-622-6322",
            "fax_number": "575-622-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015892",
            "telephone_number": "575-622-6322",
            "fax_number": "575-622-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "RICHARD",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "85-73",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35774",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.