Individual provider Active NPI

Sarojana Hanumandla, M.D.

  • Internal Medicine Physician
  • Alamogordo, NM
National Provider Identifier
1952304081
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NM20020256 Issued in NM
Practice address
2751 Scenic Dr
Alamogordo, NM 88310-8726
Phone
(575) 434-2965
NPI assigned
May 23, 2005
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NM20020256 NM Primary

Addresses

Primary practice location

2751 Scenic Dr
Alamogordo, NM 88310-8726

Mailing address

2751 Scenic Dr
Alamogordo, NM 88310-8726
Phone (575) 434-2965

Other identifiers 1

IdentifierTypeStateIssuer
33672709MedicaidNM

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
I20040414001295 NM Practitioner - Internal Medicine 3173517729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Alamogordo Internal Medicine P.C.Group PAC ID 4486664133, 2 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

2751 N Scenic Dr
Alamogordo, NM 88310-8726
Phone (575) 434-2965

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NM20020256NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Apr 1, 2007 Accepting new patients
Alamogordo Internal Medicine P.C. CurrentSince Sep 23, 2002 Accepting new patients
Otero County Hospital Association CurrentSince Apr 1, 2007 Accepting new patients

Locations

2559 Medical Dr
Ste G
Alamogordo, NM 88310
Phone (505) 437-8126

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2751 Scenic Dr
Alamogordo, NM 88310
Phone (575) 288-3216

Organizations & group practices 3

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 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1952304081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108726",
            "telephone_number": "575-434-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108726",
            "telephone_number": "575-434-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANUMANDLA",
        "first_name": "SAROJANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "NM20020256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33672709",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.