Active NPI
Noel G Dias, MD
- Diagnostic Radiology Physician
- Alamogordo, NM
National Provider Identifier
1962477414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD2010-0781
- Practice address
- 2006 Scenic Dr Apt B
Alamogordo, NM 88310-3800 - Phone
- (602) 904-3979
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2001014978 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 0432978 | KS | |
| Nuclear Medicine Physician | 207U00000X | 2001014978 | MO | |
| Nuclear Medicine Physician | 207U00000X | 0432978 | KS | |
| Diagnostic Radiology Physician | 2085R0202X | MD2010-0781 | NM | Primary |
| Nuclear Medicine Physician | 207U00000X | MD2010-0781 | NM |
Addresses
Primary practice location
2006 Scenic Dr Apt B
Alamogordo, NM 88310-3800
Mailing address
2006 Scenic Dr Apt B
Alamogordo, NM 88310-3800
Phone (602) 904-3979
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200311650A | Medicaid | KS | |
| P00154641 | Other | RR MEDICARE GROUP CK7871 | |
| 205693203 | Medicaid | MO | |
| 35022012 | Other | MO | BCBC KANSAS CITY MO |
| 55752047 | Medicaid | NM | |
| 205113 | Other | BCBS KS FOR MO LOCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014978 | MO | MD | Dentist |
| 0432978 | KS | MD | Nuclear Medicine Physician |
| 2001014978 | MO | MD | Diagnostic Radiology Physician |
| MD2010-0781 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Diagnostic Radiology in Nuclear Medicine | Diagnostic Radiology | Past | Accepting new patients |
| X-Ray, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Specialists of St Joseph PC | Diagnostic Radiology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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 and National Provider Directory roles.
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- General Acute Care Hospital
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- NPI 1336144732
-
- Diagnostic Radiology Physician
- Saint Joseph, MO
- NPI 1679512701
-
- Vascular & Interventional Radiology Physician
- Lima, OH
- NPI 1417970542
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1962477414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 SCENIC DR APT B",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883103800",
"telephone_number": "602-904-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 SCENIC DR APT B",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883103800",
"telephone_number": "602-904-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAS",
"first_name": "NOEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2001014978",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "0432978",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MO",
"license": "2001014978",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "KS",
"license": "0432978",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "MD2010-0781",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NM",
"license": "MD2010-0781",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200311650A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CK7871",
"identifier": "P00154641",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205693203",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC KANSAS CITY MO",
"identifier": "35022012",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55752047",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KS FOR MO LOCATION",
"identifier": "205113",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.