Elizabeth De la Nube Guadalupe Vallejo, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD2022-1375 Issued in NM

Practice address

400 Military Heights PL
Roswell, NM 88201-6407

Phone

(575) 627-9110

Fax

(575) 623-2191

NPI assigned

May 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Hematology/Oncology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Masoud Khorsand- Sahbaie MD P aGroup PAC ID 8729068911, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Artesia General Hospital Hospital, Artesia, NM, CCN 320030
• Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
• Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
• Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eguadalupevallejo19378@gwmfa.direct-ci.com
• Direct secure messaging: elizabeth.guadalupevallejo.p1@direct.kymeramedical.nextgenshare.com

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.

• Masoud Khorsand- Sahbaie MD P a

  • Hematology & Oncology Physician
  • Roswell, NM
  • NPI 1932187044
  Medicare reassignment Care Compare group NPD
• Masoud Khorsand-Sahbaie, MD PA

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1194169011
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Artesia General Hospital

  • General Acute Care Hospital
  • Artesia, NM
  • NPI 1437286044
  Care Compare affiliation
• Carlsbad Medical Center LLC

  • Rehabilitation Hospital Unit
  • Carlsbad, NM
  • NPI 1114949781
  Care Compare affiliation
• Carlsbad Medical Center LLC

  • General Acute Care Hospital
  • Carlsbad, NM
  • NPI 1790722346
  Care Compare affiliation
• Lovelace Health System LLC

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1972878361
  Care Compare affiliation
• Roswell Hospital Corporation

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  Care Compare affiliation

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1871949511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW STE 5-416",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-677-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILITARY HEIGHTS PL",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016407",
            "telephone_number": "575-627-9110",
            "fax_number": "575-623-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE VALLEJO",
        "first_name": "ELIZABETH",
        "middle_name": "DE LA NUBE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "MD2022-1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Granado
• Eloise E Granados, LPN
• Fatima A Granados, LMSW
• Camille Cleo Gray, MS CCC-SLP
• Richard Groh, PHARMACIST
• Madeline Rose Guenther
• Erica Elizabeth Guerrero, MSN, RN, APRN, FNP-C
• Shelsy Guerrero
• Beatriz Guerrero,, MSW
• Tatiana Gurrola

• Hematology & Oncology Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Hematology & Oncology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.