Individual provider Active NPI

Algele Cid Sumulong, MD

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1992071716
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2015-0528 Issued in NM
Practice address
4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone
(575) 532-8900
Fax
(575) 532-8910
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2015-0528 NM Primary

Addresses

Primary practice location

4371 E Lohman Ave
Las Cruces, NM 88011-8255

Mailing address

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 532-8900

Other practice location 1

855 Anthony Dr
Anthony, NM 88021
Phone (575) 882-5706

Other identifiers 2

IdentifierTypeStateIssuer
36433381MedicaidNM
478656YRNDOtherNMMEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160309002933 NM Practitioner - Family Practice 8921224635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

4301 E Lohman Ave
Las Cruces, NM 88011-8255

4311 E Lohman Ave
Las Cruces, NM 88011-8255

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

Hospital & facility affiliations

  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2015-0528NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Familia, Incorporated CurrentSince Aug 3, 2015 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Aug 3, 2015 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
Las Cruces Physician Services LLC CurrentSince Feb 1, 2024 Accepting new patients
Familycare Associates,PA Family Medicine Past Accepting new patients

Locations

855 Anthony Dr
Anthony, NM 88021
Phone (575) 882-3607

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

4371 E Lohman Ave
Las Cruces, NM 88011
Phone (575) 323-3938

4351 E Lohman Ave
Ste 201
Las Cruces, NM 88011
Phone (575) 522-2233

575 S Alameda Blvd
Las Cruces, NM 88005
Phone (575) 528-6400

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

118 S Main St
Las Cruces, NM 88001
Phone (575) 527-7975

Interoperability endpoints

  • Direct secure messaging: algele.sumulong.1@1928.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1992071716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118255",
            "telephone_number": "575-532-8900",
            "fax_number": "575-532-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118255",
            "telephone_number": "575-532-8900",
            "fax_number": "575-532-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Anthony Dr",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "NM",
            "postal_code": "88021",
            "country_code": "US",
            "telephone_number": "575-882-5706",
            "fax_number": "575-882-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMULONG",
        "first_name": "ALGELE",
        "middle_name": "CID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2015-0528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36433381",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "478656YRND",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.