Individual provider Active NPI

Tanvir Hafiz, PA-C

  • Physician Assistant
  • Silver City, NM
National Provider Identifier
1992988240
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MT-605 Issued in MT
Practice address
1007 N Pope St
Silver City, NM 88061-5161
Phone
(575) 388-1511
Fax
(575) 313-8236
NPI assigned
Dec 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MT-605 MT Primary
Physician Assistant 363A00000X PA2017-0059 NM

Addresses

Primary practice location

1007 N Pope St
Silver City, NM 88061-5161

Mailing address

530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-2369

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005001434 NM Practitioner - Physician Assistant 0042254492 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
605MTMDPhysical Therapist
MT-605MTMDPhysician Assistant
PA2017-0059NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hidalgo Medical Services CurrentSince Sep 15, 2017 Accepting new patients
Ector County Hospital District Past Accepting new patients

Locations

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1992988240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DE MOSS ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-2369",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N POPE ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615161",
            "telephone_number": "575-388-1511",
            "fax_number": "575-313-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFIZ",
        "first_name": "TANVIR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MT-605",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2017-0059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.