NPIMap

Individual provider Active NPI

Kimberly Ann Encapera, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Cruces, NM
National Provider Identifier
1811025349
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD2008-0192 Issued in NM
Practice address
4441 E Lohman Ave
Las Cruces, NM 88011-8267
Phone
(575) 521-6440
Fax
(575) 521-6571
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD2008-0192 NM Primary
Physical Medicine & Rehabilitation Physician 208100000X AC5385578-R995 NC

Addresses

Primary practice location

4441 E Lohman Ave
Las Cruces, NM 88011-8267

Mailing address

PO Box 1439
Mesilla Park, NM 88047-1439
Phone (575) 640-6338

Other identifiers 1

IdentifierTypeStateIssuer
07656572MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090116000132 NM Practitioner - Physical Medicine and Rehabilitation 9335202357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4441 E Lohman Ave
Las Cruces, NM 88011-8267
Phone (575) 521-6440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.07 of 100Reported as individual
Quality
31.67
Improvement activities
0
Cost
59.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC5385578-R995NCMDPhysical Medicine & Rehabilitation Physician
MD2008-0192NMMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dona Ana Rehabilitation Physicians PC Physical Medicine & Rehabilitation CurrentSince Aug 20, 2008 Accepting new patients
Rehabilitation Hospital of Southern New Mexico, Inc Past Accepting new patients

Locations

4441 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 521-6400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1811025349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1439",
            "city": "MESILLA PARK",
            "state": "NM",
            "postal_code": "880471439",
            "telephone_number": "575-640-6338",
            "fax_number": "575-532-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118267",
            "telephone_number": "575-521-6440",
            "fax_number": "575-521-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCAPERA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "MD2008-0192",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "AC5385578-R995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07656572",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.