Individual provider Active NPI

Dennis M Hurtado, M.D.

  • Family Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1790793412
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2013-0983 Issued in NM
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

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
L6070OtherTXALLOPATHIC PHYSICIAN LIC
24082OtherALSTATE LICENSE
268199-1OtherNYSTATE LICENSE
MD2013-0983OtherNMSTATE LICENSE
E869OtherGROUP MDCR
ME105326OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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 319 clinicians

Practice addresses (Care Compare)

3100 Ave E
Hondo, TX 78861-3534
Phone (888) 264-0330

Hospital & facility affiliations

  • Medina Regional Hospital Hospital, Hondo, TX, CCN 451330
  • Otto Kaiser Memorial Hospital Hospital, Kenedy, TX, CCN 451364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24082ALMDFamily Medicine Physician
268199-1NYMDFamily Medicine Physician
L6070TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. CurrentSince Jun 1, 2016 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 1, 2016 Accepting new patients
Concord Medical Group PLLC CurrentSince May 8, 2025 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Curry Emergency Group LLC CurrentSince Sep 1, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 8, 2025 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Sep 1, 2016 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 PastSince Mar 17, 2008 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

  • Direct secure messaging: 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.

View all 27

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

Verify at the official NPI Registry.