Jasmin U Breitung, M.D
Individual provider Active NPI Internal Medicine Physician · Las Vegas, NM
NPI 1891726048 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1891726048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD2005-0825 (NM)
- Practice address
- 721 5TH St
Las Vegas, NM 87701-4328 - Phone
- (505) 425-1533
- Fax
- (505) 425-1536
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2213 Hot Springs Blvd
Las Vegas, NM 87701-3449
Phone (505) 425-1533
Hospital & facility affiliations
- Professional Home Health Care, Inc.
- Christus St Vincent Regional Medical Center
- Alta Vista Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060214000270 | NM | Practitioner - Internal Medicine |
9335153956 | Practice locations: Las Vegas, NM |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2005-0825 | NM | Yes |
Addresses
Primary practice location
721 5TH St
Las Vegas, NM 87701-4328
Mailing address
721 5TH St
Las Vegas, NM 87701-4328
Phone (505) 425-1533
Other providers in Las Vegas, NM
- Sarah Katrina Bonney
- Savannah Borquez
- Lori Borrego
- Dianne Braganza
- Nancy Louise Brannin
- Brookhaven Nursing Home
- Marian Katherine Brotherton
- Alice Mae Brown
- Buena Salud Family Medicine, LLC
- Buena Vida Physical Therapy and Wellness LLC
All providers in Las Vegas, NM · Internal Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.