Mariah Maestas, DO
Individual provider Active NPI Family Medicine Physician · Alamosa, CO
NPI 1992445282 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1992445282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0075896 (CO)
- Practice address
- 2115 Stuart Ave
Alamosa, CO 81101-2269 - Phone
- (719) 589-3000
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lutheran Hospital Association of the San Luis Valley
Practice addresses (Care Compare)
2115 Stuart Ave
Alamosa, CO 81101-2269
Phone (719) 589-3000
Hospital & facility affiliations
- At Home Healthcare
- San Luis Valley Regional Medical Center
- San Luis Valley Health Conejos County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250911003207 | CO | Practitioner - Family Practice | 5294119053 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0075896 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Hospital Association of the San Luis Valley | Current |
Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Current |
Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients |
Locations
2115 Stuart Ave
#A
Alamosa, CO 81101
Phone (719) 589-3000
2115 Stuart Ave
Alamosa, CO 81101
Phone (719) 589-3000
310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0075896 | CO | Yes |
Addresses
Primary practice location
2115 Stuart Ave
Alamosa, CO 81101-2269
Mailing address
2115 Stuart Ave
Alamosa, CO 81101-2269
Phone (505) 927-8314
Other providers in Alamosa, CO
- Desiree Madril
- Gloria Madril
- Raul Madril
- Darsi Madsen
- Julian David Maendel
- Victor Maldonado
- Linda M Malouff
- Paula Jeane Marchionda
- Pete Marcotte
- Melissa Marquez
All providers in Alamosa, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.