NPIMap

Individual provider Active NPI

Jie Luo, M.D.

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1902034341
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2012-0006 Issued in NM
Practice address
1600 Thorpe Rd
Las Cruces, NM 88012-9776
Phone
(575) 382-9292
Fax
(575) 382-2061
NPI assigned
Jun 24, 2009
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RS2009-0405 NM
Family Medicine Physician 207Q00000X MD2012-0006 NM Primary

Addresses

Primary practice location

1600 Thorpe Rd
Las Cruces, NM 88012-9776

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000640 NM Practitioner - Family Practice 8628234721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ben Archer Health CenterGroup PAC ID 7517878796, 39 clinicians

Practice addresses (Care Compare)

1600 Thorpe Rd
Las Cruces, NM 88012-9776
Phone (575) 382-9292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2012-0006NMMDFamily Medicine Physician
RS2009-0405NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center CurrentSince Mar 1, 2013 Accepting new patients
Ben Archer Health Center CurrentSince Mar 1, 2013 Accepting new patients
Ben Archer Health Center Past Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients

Locations

1501 10th St
Alamogordo, NM 88310
Phone (505) 443-8133

1600 Thorpe Rd
Las Cruces, NM 88012
Phone (505) 267-3088

1950 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-8057

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1902034341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HATCH",
            "state": "NM",
            "postal_code": "879370370",
            "telephone_number": "575-267-3280",
            "fax_number": "575-267-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 THORPE RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880129776",
            "telephone_number": "575-382-9292",
            "fax_number": "575-382-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "JIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "RS2009-0405",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2012-0006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.