Active NPI
Algele Cid Sumulong, MD
- Family Medicine Physician
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2015-0528
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36433381 | Medicaid | NM | |
| 478656YRND | Other | NM | MEDICARE |
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
Enrollment records 1
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
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
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2015-0528 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| Las Cruces Physician Services LLC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1528424397
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1134917040
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1164802310
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.