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IMAD IDRISS MD PA
NPI 1083879217
Internal Medicine - Gastroenterology in Las Cruces, NM

Active since July 28, 2008
2427 S TELSHOR BLVD, LAS CRUCES, NM 88011(575) 522-1059(575) 522-3652 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Imad Idriss Md Pa NPPES

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

IMAD IDRISS MD PA (NPI 1083879217) is a healthcare organization registered as a gastroenterology in Las Cruces, New Mexico and active in the NPI registry since July 2008. The organization lists Imad Idriss, President, as its authorized official.

NPPES Registry Identity

NPI1083879217
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameIMAD IDRISS MD PA
Location Address2427 S TELSHOR BLVDLas Cruces, NM 88011-5049
Mailing Address2427 S Telshor BlvdLas Cruces, NM 88011-5049
Phone(575) 522-1059
Fax(575) 522-3652
Organization SubpartNo
Authorized OfficialImad IdrissPresident · (575) 522-1059
Enumeration DateJuly 28, 2008
✔ NPI 1083879217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NM · 78-41
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2427 S TELSHOR BLVD, Las Cruces, NM 88011
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Other Identifiers 2

Medicaid02782NM
Medicare UPINC97861NM

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IMAD A.R. IDRISS M.D.
Internal Medicine (Gastroenterology)
2427 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (575) 522-1059

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 Imad Idriss MD PA's NPI number?

The NPI number for Imad Idriss MD PA is 1083879217. It was assigned to this organization in the NPPES registry on July 28, 2008.

Where is Imad Idriss MD PA located?

Imad Idriss MD PA is located at 2427 S Telshor Blvd, Las Cruces, NM 88011. The listed phone number is (575) 522-1059.

What is Imad Idriss MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Imad Idriss MD PA was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.