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SOUTHWEST CENTER ON AGING
NPI 1003143660
Internal Medicine in Las Cruces, NM

Active since November 03, 2009CLIA 32D2001911 · Waiver
1106 CENTRE CT, LAS CRUCES, NM 88011(575) 532-5455(575) 532-5641 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southwest Center On Aging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST CENTER ON AGING (NPI 1003143660) is a healthcare organization registered as an internal medicine in Las Cruces, New Mexico and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Jesus Roberto Duran, Owner, as its authorized official.

NPPES Registry Identity

NPI1003143660
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHWEST CENTER ON AGING
Location Address1106 CENTRE CTLas Cruces, NM 88011-8154
Mailing Address1106 Centre CtLas Cruces, NM 88011-8154 · (575) 532-5455 · Fax (575) 532-5641
Phone(575) 532-5455
Fax(575) 532-5641
Organization SubpartNo
Authorized OfficialJesus Roberto DuranOwner · (575) 647-8366
Enumeration DateNovember 3, 2009
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1003143660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2008-0053
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1106 CENTRE CT, Las Cruces, NM 88011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Center On Aging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Southwest Center On Aging, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Mary Younger, NP
Nurse Practitioner
NPI 1295513364
1106 CENTRE CT
Las Cruces, NM 88011
(575) 532-5455
✔ PECOS✔ Accepts MedicareSame address
Senait Gebreyesus
Nurse Practitioner
NPI 1295688877
3907 CRYSTAL PL
Las Cruces, NM 88012
(412) 719-6500
✔ PECOS✔ Accepts Medicare2.3 mi
Shannon Rodriguez, CNS
Certified Clinical Nurse Specialist (CNS)
NPI 1316243736
1955 N VALLEY DR
Las Cruces, NM 88007
(575) 523-2772
✔ PECOS✔ Accepts Medicare2.8 mi
Rebecca Ellis, CNP
Nurse Practitioner
NPI 1902227127
1998 N MOTEL BLVD
Las Cruces, NM 88007
(575) 541-5941
✔ PECOS✔ Accepts Medicare3.2 mi
Jesus Duran, M.D.
Internal Medicine
NPI 1972714806
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 532-5455
✔ PECOS✔ Accepts Medicare4.2 mi
Eva Aguilar, FNP
Nurse Practitioner
NPI 1295909257
855 ANTHONY DR
Anthony, NM 88021
(575) 882-5706
✔ PECOS✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2001911

Southwest Center On Aging · Las Cruces, NM
Active · expires Jan 3, 2028
CLIA Number32D2001911
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorDr. J Roberto Duran III
Laboratory Phone(575) 532-5455
Laboratory LocationSouthwest Center On Aging1106 Centre Court, Las Cruces, NM 88011
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Center On Aging's NPI number?

The NPI number for Southwest Center On Aging is 1003143660. It was assigned to this organization in the NPPES registry on November 3, 2009.

Where is Southwest Center On Aging located?

Southwest Center On Aging is located at 1106 Centre Ct, Las Cruces, NM 88011. The listed phone number is (575) 532-5455.

What is Southwest Center On Aging's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Southwest Center On Aging enrolled in Medicare?

Yes. Southwest Center On Aging is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Center On Aging?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Southwest Center On Aging. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Certified Clinical Nurse Specialist (CNS) (1) and Internal Medicine (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest Center On Aging hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2001911) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwest Center On Aging was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.