Organization Active NPI

Las Cruces Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Las Cruces, NM
National Provider Identifier
1982647699
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LAS CRUCES RADIOLOGY ASSOCIATES INC
Practice address
160 Roadrunner Parkway
Las Cruces, NM 88011
Phone
(575) 449-7005
Fax
(575) 449-7006
NPI assigned
Jun 13, 2006
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Ramakrishna DevasthaliNPI 1285603340
Title
MD/ President
Phone
(575) 449-7005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

160 Roadrunner Parkway
Las Cruces, NM 88011

Mailing address

PO Box 13638
Las Cruces, NM 88013-3638
Phone (575) 449-7005

Other identifiers 3

IdentifierTypeStateIssuer
43844MedicaidNM
NM010679OtherNMBCBS OF NM
DD3226OtherRR MEDICARE

National Provider Directory

National Provider Directory

Locations

160 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone (505) 522-1802

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1982647699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13638",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133638",
            "telephone_number": "575-449-7005",
            "fax_number": "575-449-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROADRUNNER PARKWAY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-449-7005",
            "fax_number": "575-449-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES RADIOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "DEVASTHALI",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_title_or_position": "MD/ PRESIDENT",
        "authorized_official_telephone_number": "575-449-7005"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43844",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM010679",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD3226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.