Active NPI
Benjamin Johnathan Tschudy
- Physician Assistant
- Las Cruces, NM
National Provider Identifier
1821749391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 141 N Roadrunner Pkwy Ste 228
Las Cruces, NM 88011-2001 - Phone
- (575) 521-1177
- NPI assigned
- Jan 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
141 N Roadrunner Pkwy Ste 228
Las Cruces, NM 88011-2001
Mailing address
7300 Ranch Road 2222, BLDG 1, Ste 200
Austin, TX 78730-3255
Phone (512) 759-8932
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 N Roadrunner Pkwy
Suite 228
Las Cruces, NM 88011-2001
Phone (575) 521-1177
No 5 Calle Medico
Suite a
Santa Fe, NM 87505-4762
Phone (505) 557-6300
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.02 of 100
- Quality
- 84.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- benjamin.tschudy@epiphanyderm.emadirect.md
Organizations & group practices 1
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.
-
- Dermatology Physician
- Albuquerque, NM
- NPI 1447615760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1821749391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787303255",
"telephone_number": "512-759-8932",
"fax_number": "512-233-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N ROADRUNNER PKWY STE 228",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880112001",
"telephone_number": "575-521-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSCHUDY",
"first_name": "BENJAMIN",
"middle_name": "JOHNATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-15",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.