Individual provider Active NPI

Stephen Vinge, MD

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1952422909
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
99-322 Issued in NM
Practice address
575 S Alameda Blvd
Las Cruces, NM 88005
Phone
(575) 528-6400
Fax
(575) 521-7199
NPI assigned
Apr 3, 2007
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X L3172 NM
Family Medicine Physician 207Q00000X 99-322 NM Primary

Addresses

Primary practice location

575 S Alameda Blvd
Las Cruces, NM 88005

Mailing address

385 Calle de Alegra
BLDG. a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other practice location 1

8600 Bataan Memorial E
Las Cruces, NM 88011-6016
Phone (575) 373-9202

Other identifiers 2

IdentifierTypeStateIssuer
347642YRNDOtherNMMEDICARE
00067812MedicaidNM

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
I20080411000018 NM Practitioner - Family Practice 6204913510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amador Health Center, Inc.Group PAC ID 0244501633, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

999 W Amador Ave a
Las Cruces, NM 88005-2739
Phone (575) 527-5482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3172NMMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Solutions PA Family Medicine CurrentSince Jan 5, 2019 Accepting new patients
Amador Health Center, Inc. Past Accepting new patients
American Current Care, P.a. Past Accepting new patients

Locations

1680 Calle de Alvarez
Ste B
Las Cruces, NM 88005
Phone (575) 524-3346

Interoperability endpoints

  • Direct secure messaging: stephen.vinge.1@27572.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1952422909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA",
            "address_2": "BLDG. A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88005",
            "telephone_number": "575-528-6400",
            "fax_number": "575-521-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Bataan Memorial E",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880116016",
            "country_code": "US",
            "telephone_number": "575-373-9202",
            "fax_number": "575-373-9592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINGE",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NM",
            "license": "L3172",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "99-322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "347642YRND",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00067812",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.