Individual provider Active NPI

Milagros Dalgir Samaniego-Picota, MD

  • Nephrology Physician
  • Roswell, NM
National Provider Identifier
1790746154
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD2024-1056 Issued in NM
Practice address
313 W Country Club Rd Ste 12
Roswell, NM 88201-5804
Phone
(575) 627-5828
Fax
(575) 627-5835
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301093628 MI
Nephrology Physician 207RN0300X 46860 WI
Nephrology Physician 207RN0300X 4301093628 MI
Nephrology Physician 207RN0300X MD2024-1056 NM Primary

Addresses

Primary practice location

313 W Country Club Rd Ste 12
Roswell, NM 88201-5804

Mailing address

3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 998-7400

Other identifiers 1

IdentifierTypeStateIssuer
34522000MedicaidWI

Other names 1

  • Millie Samaniego Former name

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
I20241030000350 NM Practitioner - Nephrology 2466426986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Medicine Associates LTD.Group PAC ID 1052217585, 37 clinicians

Practice addresses (Care Compare)

313 W Country Club Rd
Suite 12
Roswell, NM 88201-5804
Phone (505) 627-5828

Hospital & facility affiliations

  • Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030
  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
  • Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
87.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093628MIMDNephrology Physician
MD2024-1056NMMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Medicine Associates LTD. CurrentSince Nov 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3821 Masthead St NE
Albuquerque, NM 87109
Phone (505) 998-7400

313 W Country Club Rd
Ste 12
Roswell, NM 88201
Phone (505) 627-5828

313 W Country Club Rd
Roswell, NM 88201
Phone (505) 623-4111

Interoperability endpoints

  • Direct secure messaging: msamaniegopicota67310@direct.acumenmd.com

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 6

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1790746154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094679",
            "telephone_number": "505-998-7400",
            "fax_number": "505-998-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD STE 12",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015804",
            "telephone_number": "575-627-5828",
            "fax_number": "575-627-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANIEGO-PICOTA",
        "first_name": "MILAGROS",
        "middle_name": "DALGIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301093628",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "46860",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301093628",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2024-1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34522000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILLIE",
            "last_name": "SAMANIEGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.