PETER K. SANGRA MD - NPI 1265873947 - Psychiatry & Neurology in Santa Teresa, NM

Q: What is Peter Sangra's NPI number?

The NPI number for Peter Sangra is 1265873947. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Q: What is Peter Sangra's specialty?

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

Q: Is Peter Sangra enrolled in Medicare?

No. Peter Sangra has opted out of Medicare through April 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Peter Sangra was last updated on October 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Peter K. Sangra Md NPPES

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

PETER K. SANGRA MD (NPI 1265873947) is an individual psychiatry provider in Santa Teresa, New Mexico, licensed in New Mexico (MD2017-0955) and active in the NPI registry since July 2013. He has opted out of Medicare through April 3, 2027.

NPPES Registry Identity

NPI1265873947

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NamePETER K. SANGRACredential: MD

Location Address5055 MCNUTT RDSanta Teresa, NM 88008-9442

Mailing Address5045 Mcnutt RdSanta Teresa, NM 88008-9442 · (575) 589-3000 · Fax (575) 589-6682

Phone(575) 589-3000

Fax(575) 589-6682

Sole ProprietorNo

Enumeration DateJuly 10, 2013

Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration

NPPES CertifiedOctober 9, 2020

✔ NPI 1265873947 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 · MD2017-0955

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 ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD2017-0955 (NM)

5055 MCNUTT RD, Santa Teresa, NM 88008

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Peter K. Sangra Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2025 through April 3, 2027.

Opt-Out Effective DateApril 3, 2025

Opt-Out In Effect ThroughApril 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

MARIO VELA FNP, DNP

Nurse Practitioner (Family)