Individual provider Active NPI

Jonas R. Skardis, DOM

  • Interventional Pain Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1851432835
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
159RX2 Issued in NM
Practice address
460 Saint Michaels Dr Ste 200
Santa Fe, NM 87505-7686
Phone
(505) 988-5551
NPI assigned
Feb 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 159RX2 NM Primary

Addresses

Primary practice location

460 Saint Michaels Dr Ste 200
Santa Fe, NM 87505-7686

Mailing address

460 Saint Michaels Dr Ste 200
Santa Fe, NM 87505-7686
Phone (505) 988-5551

Other identifiers 1

IdentifierTypeStateIssuer
CS00207711OtherNMCONTROLLED SUBSTANCES REG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
159RX2NMMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Pain Management, LLC Interventional Pain Medicine Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851432835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 200",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057686",
            "telephone_number": "505-988-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 200",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057686",
            "telephone_number": "505-988-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARDIS",
        "first_name": "JONAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NM",
            "license": "159RX2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCES REG",
            "identifier": "CS00207711",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.