Active NPI
Dennis M Hurtado, M.D.
- Family Medicine Physician
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2013-0983
- Practice address
- 3777 NM Hwy 528 NE
Rio Rancho, NM 87144-7650 - Phone
- (505) 404-2590
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24082 | AL | |
| Family Medicine Physician | 207Q00000X | L6070 | TX | |
| Family Medicine Physician | 207Q00000X | ME105326 | FL | |
| Family Medicine Physician | 207Q00000X | MD2013-0983 | NM | Primary |
| Family Medicine Physician | 207Q00000X | 268199-1 | NY |
Addresses
Primary practice location
3777 NM Hwy 528 NE
Rio Rancho, NM 87144-7650
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L6070 | Other | TX | ALLOPATHIC PHYSICIAN LIC |
| 24082 | Other | AL | STATE LICENSE |
| 268199-1 | Other | NY | STATE LICENSE |
| MD2013-0983 | Other | NM | STATE LICENSE |
| E869 | Other | GROUP MDCR | |
| ME105326 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507001256 | TX | Practitioner - Family Practice | 8224027909 | Reassigns benefits to 2 organizations |
| I20160812001628 | NM | Practitioner - Family Practice | 8224027909 | Reassigns benefits to 3 organizations |
| I20160824000127 | NY | Practitioner - Family Practice | 8224027909 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Howard University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Concord Medical Group of Texas PLLC
Practice addresses (Care Compare)
3100 Ave E
Hondo, TX 78861-3534
Phone (888) 264-0330
Hospital & facility affiliations
- Medina Regional Hospital
- Otto Kaiser Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24082 | AL | MD | Family Medicine Physician |
| 268199-1 | NY | MD | Family Medicine Physician |
| L6070 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Curry Emergency Group LLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Lake Mary Medical Consulting Inc | Past | Accepting new patients | |
| G.T. Emergency Physicians PLLC | Past | Accepting new patients | |
| Southeast Emergency Physician Associates, P.a. | Past | Accepting new patients | |
| Texas Emergency Room Services PA | Past | Accepting new patients | |
| Willstown Emergency Physicians | Past | Accepting new patients | |
| Glen Rose Medical Foundation Inc. | Past | Accepting new patients | |
| Cowboy Capital Emergency Physicians | Past | Accepting new patients | |
| Canadian River Emergency Physicians PLLC | Past | Accepting new patients | |
| City of Jackson Healthcare Authority | Past | Accepting new patients | |
| Preventive Medicine of Southeast Texas, LLP | Family Medicine | Past | Accepting new patients |
| Albert Rains Emergency Physicians | Past | Accepting new patients | |
| Gilliard Health Services | Family Medicine | Past | Accepting new patients |
| Texas Emergency Room Services , PA | Past | Accepting new patients | |
| KTX Emergency Physicians PLLC | Past | Accepting new patients | |
| Texas Emergency Room Services, P.a. | Past | Accepting new patients | |
| Glen Rose Medical Foundation | Past | Accepting new patients | |
| Michael a Rowley MD PA | Past | Accepting new patients | |
| Palo Pinto Emergency Physicians | Past | Accepting new patients | |
| Camino Real Emergency Physicians PLLC | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
4420 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 727-6300
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
3777 NM Hwy 528 NE
Rio Rancho, NM 87144
Phone (505) 404-2590
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700
Interoperability endpoints
- dhurtado704420@ahs.direct-ci.com
Organizations & group practices 27
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine, NM
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
Family Medicine, NM
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
NY
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Family Medicine
-
- Diagnostic Radiology Physician
- Clovis, NM
- NPI 1174716781
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1043466998
-
- Emergency Medicine Physician
- Livingston, TX
- NPI 1992871966
-
- Emergency Medicine Physician
- Dumas, TX
- NPI 1790734515
Hospital & facility affiliations 2
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": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1790793412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 NM HWY 528 NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871447650",
"telephone_number": "505-404-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTADO",
"first_name": "DENNIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "24082",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L6070",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME105326",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2013-0983",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "268199-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLOPATHIC PHYSICIAN LIC",
"identifier": "L6070",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "24082",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "268199-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD2013-0983",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MDCR",
"identifier": "E869",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME105326",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.