Active NPI
Stephen Anthony Rath, MD
- Anesthesiology Physician
- Ruidoso, NM
National Provider Identifier
1801090485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M6845
- Practice address
- 1900 Sudderth Dr
Ruidoso, NM 88345-6117 - Phone
- (575) 257-4772
- Fax
- (575) 257-4775
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M6845 | TX | Primary |
| Anesthesiology Physician | 207L00000X | MD2008-0112 | NM |
Addresses
Primary practice location
1900 Sudderth Dr
Ruidoso, NM 88345-6117
Mailing address
1900 Sudderth Dr
Ruidoso, NM 88345-6117
Phone (575) 257-4772
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6845 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients |
Locations
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
Organizations & group practices 3
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
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1801090485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456117",
"telephone_number": "575-257-4772",
"fax_number": "575-257-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456117",
"telephone_number": "575-257-4772",
"fax_number": "575-257-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATH",
"first_name": "STEPHEN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "M6845",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "MD2008-0112",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.