SANDROCK PODIATRY LLC
NPI 1124809066
Podiatrist in Farmington, NM
About Sandrock Podiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDROCK PODIATRY LLC (NPI 1124809066) is a healthcare organization registered as a podiatrist in Farmington, New Mexico and active in the NPI registry since October 2023. The organization lists Eric Haag, Owner/podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandrock Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sandrock Podiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Sandrock Podiatry LLC's NPI number?
The NPI number for Sandrock Podiatry LLC is 1124809066. It was assigned to this organization in the NPPES registry on October 6, 2023.
Where is Sandrock Podiatry LLC located?
Sandrock Podiatry LLC is located at 4707 Rio St, Farmington, NM 87402. The listed phone number is (505) 787-9035.
What is Sandrock Podiatry LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Sandrock Podiatry LLC enrolled in Medicare?
Yes. Sandrock Podiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sandrock Podiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Sandrock Podiatry LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sandrock Podiatry LLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sandrock Podiatry Llc · NPI 1124809066
Podiatrist organization in Farmington, New Mexico. Organization record, active in the CMS NPPES registry since October 6, 2023.
## Identity
- **NPI:** 1124809066 (Entity type: Organization)
- **Enumerated:** October 6, 2023
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Eric Haag, OWNER/PODIATRIST
## Practice location
- **Address:** 4707 RIO ST, Farmington, NM 87402-5323
- **Phone:** (505) 787-9035
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2024
- **Other identifiers:** Other 6N8581 (NM); Medicaid 74122355 (NM)
---
Source: [NPI Profile](https://npiprofile.com/npi/1124809066) · Data from the CMS NPPES public registry.