PUEBLO PINTADO CLINIC
NPI 1023051133
Clinic/Center in Cuba, NM

Active since June 14, 2006
#10 PUEBLO PINTADO SCHOOL, CUBA, NM 87013(505) 655-3501(505) 862-8909 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pueblo Pintado Clinic NPPES

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

PUEBLO PINTADO CLINIC (NPI 1023051133) is a healthcare organization registered as a clinic/center in Cuba, New Mexico and active in the NPI registry since June 2006. The organization lists Anslem Roanhorse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023051133
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePUEBLO PINTADO CLINIC
Location Address#10 PUEBLO PINTADO SCHOOLCuba, NM 87013
Mailing AddressPo Box 358Crownpoint, NM 87313-0358 · (505) 655-6501 · Fax (505) 655-3510
Fax(505) 862-8909
Organization SubpartYesParent: Dhhs Phs Naihs Crownpoint Hospital
Authorized OfficialAnslem RoanhorseCeo · (505) 786-5291
Enumeration DateJune 14, 2006
Last NPPES UpdateOctober 18, 2012
✔ NPI 1023051133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other Identifiers 3

MedicaidR2915NM
OtherHSZ144NM · Medicare Group Ptan
Medicare OSCAR/certification320062NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pueblo Pintado Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

263

Medicare enrollment records show 263 clinicians reassign Medicare billing to Pueblo Pintado Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Emergency Medicine84
Nurse Practitioner70
Family Practice44
Internal Medicine22
Optometry10
Physical Therapist in Private Practice6
Certified Nurse Midwife (CNM)4
Clinical Social Worker4
9 other specialties19

Nearest to this location (20)

See all 263
Clinical Social Worker
NPI 1316778236
PO BOX 358 ROUTE 9 & HIWAY 371
Crownpoint, NM 87313
(505) 786-6232
✔ PECOS✔ Accepts Medicare
Internal Medicine
NPI 1073520474
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1750927661
2003 W FULTON ST STE 303
Chicago, IL 60612
(312) 243-2223
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1104341007
1818 S 10TH AVE STE 200
Caldwell, ID 83605
(208) 453-6417
✔ PECOS✔ Accepts Medicare
Emergency Medicine
NPI 1689660292
1600 S ANDREWS AVE BROWARD GENERAL EMERGENCY DEPARTMENT
Ft Lauderdale, FL 33316
(954) 355-4400
✔ PECOS✔ Accepts Medicare
Emergency Medicine
NPI 1487642039
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS✔ Accepts Medicare
Podiatry
NPI 1942652193
1608 7TH ST STE B
Las Vegas, NM 87701
(505) 425-3569
✔ PECOS✔ Accepts Medicare
527 N 6TH ST
Blytheville, AR 72315
(870) 762-2297
✔ PECOS✔ Accepts Medicare
Hospitalist
NPI 1033126156
601 W 2ND ST
Bloomington, IN 47403
(812) 353-9515
✔ PECOS✔ Accepts Medicare
Family Practice
NPI 1073625547
CORNER OF ROUTE N12 AND N7
Fort Defiance, AZ 86504
(928) 729-8000
✔ PECOS✔ Accepts Medicare
Clinical Social Worker
NPI 1487192175
STATE ROAD 371, NAVAJO ROUTE 9
Crownpoint, NM 87313
(505) 786-6232
✔ PECOS✔ Accepts Medicare
Qualified Speech Language Pathologist
NPI 1033266564
HWY 191 HOSPITAL ROAD
Chinle, AZ 86503
(928) 674-7223
Physical Therapist in Private Practice
NPI 1811631872
JUNCTION OF HWY 371 AND RT 9
Crownpoint, NM 87313
(505) 786-5291
Pediatric Medicine
NPI 1508841636
CORNER OF ROUTE N12 AND N7
Fort Defiance, AZ 86504
(928) 729-8000
✔ PECOS
Certified Nurse Midwife (CNM)
NPI 1528470655
1000 E 1ST ST STE LL
Duluth, MN 55805
(218) 249-4700
✔ PECOS
Obstetrics/Gynecology
NPI 1134361785
11505 BURNHAM DRIVE SUITE 302
Gig Harbor, WA 98332
(253) 313-5997
✔ PECOS
General Surgery
NPI 1811060049
BOSTON MEDICAL CENTER 88 EAST NEWTON STREET, C515
Boston, MA 02118
(617) 638-8442
✔ PECOS
Registered Dietitian or Nutrition Professional
NPI 1780777185
US HWY 491 NORTH
Shiprock, NM 87420
(505) 368-6864
Physical Medicine and Rehabilitation
NPI 1891764106
HWY 371 ROUTE 9 JCT
Crownpoint, NM 87311
(505) 786-5291
✔ PECOS
Psychiatry
NPI 1245609957
9435 S TENAYA WAY # B
Las Vegas, NV 89178
(702) 210-2340
✔ PECOS
See all 263 clinicians

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

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 Pueblo Pintado Clinic's NPI number?

The NPI number for Pueblo Pintado Clinic is 1023051133. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Pueblo Pintado Clinic located?

Pueblo Pintado Clinic is located at #10 Pueblo Pintado School, Cuba, NM 87013. The listed phone number is (505) 655-3501.

What is Pueblo Pintado Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Pueblo Pintado Clinic enrolled in Medicare?

Yes. Pueblo Pintado Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pueblo Pintado Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 263 clinicians in 17 Medicare specialties reassign their Medicare billing to Pueblo Pintado Clinic. 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 Emergency Medicine (84), Nurse Practitioner (70) and Family Practice (44). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pueblo Pintado Clinic was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.