NPIMap

Individual provider Active NPI

Jesus Tafoya, M.D.

  • Family Medicine Physician
  • Las Vegas, NM
National Provider Identifier
1992118145
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10049903 Issued in TX
Practice address
2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone
(505) 434-0119
Fax
(877) 553-1272
NPI assigned
Jun 5, 2014
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 BP10049903 TX Primary

Addresses

Primary practice location

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972

Mailing address

3601 4TH St # Ms 8143
Lubbock, TX 79430-0002
Phone (806) 743-6130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisnm.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170819000139 NM Practitioner - Family Practice 5395034946 Reassigns benefits to 5 organizations
Practice locations: Las Vegas, NM

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Emergency Medicine LLCGroup PAC ID 9032546783, 10 clinicians
Sunrise ClinicsGroup PAC ID 6800226374, 33 clinicians

Practice addresses (Care Compare)

104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500

117 Camino de Vida
Suite 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 434-0119

901 Baca St
Las Vegas, NM 87701-4972
Phone (505) 454-3218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
71.49
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe County CurrentSince May 15, 2018 Accepting new patients
San Miguel Hospital Corporation Current Accepting new patients
Sunrise Clinics Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Guadalupe County CurrentSince May 15, 2018 Accepting new patients
Summit Emergency Medicine LLC CurrentSince Oct 1, 2024 Accepting new patients
San Miguel Hospital Corporation PastSince Apr 11, 2024 Accepting new patients

Locations

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

104 Legion Dr
Ste 4
Las Vegas, NM 87701
Phone (505) 426-3780

2515 Ridge Runner Rd
Las Vegas, NM 87701
Phone (505) 425-2662

901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218

117 Camino de Vida
Ste 100
Santa Rosa, NM 88435
Phone (575) 472-3417

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

Interoperability endpoints

  • Direct secure messaging: jesus.tafoya.1@1592.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1992118145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST # MS 8143",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014972",
            "telephone_number": "505-434-0119",
            "fax_number": "877-553-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFOYA",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10049903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sanchez@sunrisnm.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2515 Ridge Runner Rd",
            "city": "Las Vegas",
            "state": "NM",
            "country_code": "US",
            "postal_code": "877014972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.