Individual provider Active NPI

Roberto Talamantes, M.D.

  • Pediatrics Physician
  • Las Cruces, NM
National Provider Identifier
1851436257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
84-273 Issued in NM
Practice address
1250 Hillrise Cir
Las Cruces, NM 88011-4741
Phone
(505) 521-1378
Fax
(505) 522-2318
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 84-273 NM Primary

Addresses

Primary practice location

1250 Hillrise Cir
Las Cruces, NM 88011-4741

Mailing address

1250 Hillrise Cir
Las Cruces, NM 88011-4741
Phone (505) 521-1378

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180615000366 NM Practitioner - Pediatric Medicine 3971858986 Practice locations: Las Cruces, NM

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto Talamantes MD PA Pediatrics CurrentSince Apr 27, 2018 Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients

Locations

2903 Hillrise Dr
Las Cruces, NM 88011
Phone (505) 522-4774

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851436257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 HILLRISE CIR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114741",
            "telephone_number": "505-521-1378",
            "fax_number": "505-522-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HILLRISE CIR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114741",
            "telephone_number": "505-521-1378",
            "fax_number": "505-522-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAMANTES",
        "first_name": "ROBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "84-273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.