John Randall Underwood, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD2019-0235 Issued in NM

Practice address

400 N Pennsylvania Ave Ste 570
Roswell, NM 88201-4792

Phone

(575) 434-0159

Fax

(888) 687-6133

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pain Management

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
• Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.underwood.1@6965.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Otero County Hospital Association

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579

  Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Otero County Hospital Association

  • Community/Retail Pharmacy
  • Alamogordo, NM
  • NPI 1235948803
  NPD
• Anesthesia Pain Services LLC

  • Anesthesiology Physician
  • Streator, IL
  • NPI 1790075489
  NPD (past)
• Anesthesia Pain Services LLC

  • Interventional Pain Medicine Physician
  • Decatur, IL
  • NPI 1821257783

  Anesthesiology

  NPD (past)
• Anesthesia Services, LLC

  • Anesthesiology Physician
  • Decatur, IL
  • NPI 1952560013
  NPD (past)
• Central Illinois Associates LTD

  • Pain Medicine (Anesthesiology) Physician
  • Decatur, IL
  • NPI 1558425462
  NPD (past)
• Pain Consultants of Central Illinois LLC

  • Interventional Pain Medicine Physician
  • Decatur, IL
  • NPI 1497959936
  NPD (past)

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

• Otero County Hospital Association

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Care Compare affiliation
• Presbyterian Healthcare Services

  • Critical Access Hospital
  • Ruidoso, NM
  • NPI 1558347708
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1962467555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108700",
            "telephone_number": "575-434-0159",
            "fax_number": "888-687-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE STE 570",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014792",
            "telephone_number": "575-434-0159",
            "fax_number": "888-687-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "JOHN",
        "middle_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NM",
            "license": "MD2019-0235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78176565",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Turner, MD
• Turquoise Health and Wellness
• Turquoise Health and Wellness, Inc
• Turquoise Health and Wellness, Inc.
• Holly Marie Underwood
• Union Medical
• United Supermarkets LLC
• United Supermarkets LLC
• Uptown Clinic LLC
• Danielle Marie Urquides

• Pain Medicine (Anesthesiology) Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Pain Medicine (Anesthesiology) Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.