Individual provider Active NPI

Vladimir Spira, M.D.

  • Pediatrics Physician
  • Silver City, NM
National Provider Identifier
1982756573
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2008-0744 Issued in NM
Practice address
114 W 11TH St
Silver City, NM 88061-5136
Phone
(575) 388-1511
Fax
(575) 388-3465
NPI assigned
Jan 17, 2007
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 032819 GA
Pediatrics Physician 208000000X MD2008-0744 NM Primary

Addresses

Primary practice location

114 W 11TH St
Silver City, NM 88061-5136

Mailing address

530 Demoss Street
Lordsburg, NM 88045-2618
Phone (575) 542-8384

Other identifiers 1

IdentifierTypeStateIssuer
NMA100399OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081202000859 NM Practitioner - Pediatric Medicine 3173684693 Reassigns benefits to 1 organization
I20181113003411 GA Practitioner - Pediatric Medicine 3173684693

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032819GAMDPediatrics Physician
MD2008-0744NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Health Systems, Inc., Holy Cross Hospital Current Accepting new patients
Pediatrix Medical Group of Georgia, P.C. Past Accepting new patients
Pediatrix Medical Group of Georgia, P.C. Past Accepting new patients

Locations

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1982756573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DEMOSS STREET",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-8384",
            "fax_number": "575-542-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 11TH ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615136",
            "telephone_number": "575-388-1511",
            "fax_number": "575-388-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRA",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "032819",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2008-0744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NMA100399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.