Michael P Clements, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

96-218 Issued in NM

Practice address

1701 Sudderth Dr
Ruidoso, NM 88345-7067

Phone

(575) 630-1055

Fax

(575) 630-1066

NPI assigned

Dec 22, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Wellcare, Inc.

  dba Enhabit Hospice

  • Community Based Hospice Care Agency
  • Ruidoso, NM
  • NPI 1295076305

  Contracted Managing Employee

  CMS ownership

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.

• Michael P. Clements MD

  • Geriatric Medicine (Family Medicine) Physician
  • Ruidoso, NM
  • NPI 1487290623
  NPD (past) Authorized official
• Ruidoso Gastroenterology, P.C.

  • Medical Specialty Clinic/Center
  • Ruidoso, NM
  • NPI 1568627586
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1972668796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUDDERTH DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456114",
            "telephone_number": "575-630-1055",
            "fax_number": "575-630-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUDDERTH DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457067",
            "telephone_number": "575-630-1055",
            "fax_number": "575-630-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "96-218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0066",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaden N Chavez
• Childrens Dental Clinic of Ruidoso PC
• Kenneth Childress, DDS
• Charlotte Arlene Christopher, RN
• Terry Rustyn Christopher
• Clinical Counseling, Rebekah Stephens LLC
• Marjorie Marie Coen
• Christina Cole, SAA
• Patrick J Connor, MD
• Kimberly A Corley, BMS

• Family Medicine Physician in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.