PANGEA MEDICAL
NPI 1255786703
Psychiatry & Neurology - Psychiatry in Roswell, NM

Q: What is Pangea Medical LLC's NPI number?

The NPI number for Pangea Medical LLC is 1255786703. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is doing business as Pangea Medical.

Q: What is Pangea Medical LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 03, 2016

405 W COUNTRY CLUB RD, ROSWELL, NM 88201(575) 624-2095(575) 208-0780 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2022, Jan 10, 2019, Oct 18, 2016 (3 updates tracked since 2016).

On this page

About Pangea Medical NPPES

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

PANGEA MEDICAL (NPI 1255786703) is a healthcare organization registered as a psychiatry in Roswell, New Mexico and active in the NPI registry since May 2016. The organization lists Steven R Black, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1255786703

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePANGEA MEDICAL LLC

Location Address405 W COUNTRY CLUB RDRoswell, NM 88201-5209

Mailing AddressPo Box 8244Roswell, NM 88202-8244 · (575) 624-2095 · Fax (575) 208-0780

Phone(575) 624-2095

Fax(575) 208-0780

Organization SubpartNo

Authorized OfficialSteven R BlackManaging Member · (575) 624-2095

Enumeration DateMay 3, 2016

Last NPPES UpdateOctober 21, 20223 updates tracked since enumeration

NPPES CertifiedOctober 21, 2022

✔ NPI 1255786703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NM · MD2011-0547

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD2011-0547 (NM)

405 W COUNTRY CLUB RD, Roswell, NM 88201

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Other Names 1

Doing Business AsPangea Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Pangea Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pangea Medical, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Steven Black, M.D.

Psychiatry

NPI 1578546438

405 W COUNTRY CLUB RD
Roswell, NM 88201

(575) 624-2095

✔ PECOS✔ Accepts Medicare0.7 mi

David Durham, MD

Psychiatry

NPI 1326264623

405 W COUNTRY CLUB RD
Roswell, NM 88201

(575) 622-8170

✔ PECOS✔ Accepts Medicare0.7 mi

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 Pangea Medical LLC's NPI number?

The NPI number for Pangea Medical LLC is 1255786703. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is doing business as Pangea Medical.

Where is Pangea Medical LLC located?

Pangea Medical LLC is located at 405 W Country Club Rd, Roswell, NM 88201. The listed phone number is (575) 624-2095.

What is Pangea Medical LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pangea Medical LLC enrolled in Medicare?

Yes. Pangea Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pangea Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Psychiatry, reassign their Medicare billing to Pangea Medical 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pangea Medical LLC was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.