NPIMap

Individual provider Active NPI

Srirengam Muralidhasan, MD

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1902898257
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98-125 Issued in NM
Practice address
1605 El Paseo Rd
Las Cruces, NM 88001-6010
Phone
(575) 523-5400
Fax
(575) 523-5401
NPI assigned
Aug 22, 2005
Last updated
May 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98-125 NM Primary

Addresses

Primary practice location

1605 El Paseo Rd
Las Cruces, NM 88001-6010

Mailing address

1605 El Paseo Rd
Las Cruces, NM 88001-6010
Phone (575) 523-5400

Other identifiers 2

IdentifierTypeStateIssuer
P00212854OtherNMRR MEDICARE
41326857MedicaidNM

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
I20050420001114 NM Practitioner - Family Practice 6507804754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Srirengam Muralidhasan MD LLCGroup PAC ID 8123079274, 7 clinicians

Practice addresses (Care Compare)

1605 El Paseo Rd
Las Cruces Urgent Care
Las Cruces, NM 88001-6010
Phone (575) 523-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Srirengam Muralidhasan MD LLC Family Medicine CurrentSince May 1, 2005 Accepting new patients

Locations

1605 El Paseo Rd
Las Cruces, NM 88001
Phone (505) 527-2600

1605 El Paseo Rd
Ste A
Las Cruces, NM 88001
Phone (505) 541-1500

Interoperability endpoints

  • Direct secure messaging: srirengam.muralidhasan@smm.eclinicaldirectplus.com

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, 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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1902898257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EL PASEO RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016010",
            "telephone_number": "575-523-5400",
            "fax_number": "575-523-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EL PASEO RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016010",
            "telephone_number": "575-523-5400",
            "fax_number": "575-523-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURALIDHASAN",
        "first_name": "SRIRENGAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "98-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00212854",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41326857",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.