ELITE MEDICAL LLC
NPI 1386993764
Family Medicine in Roswell, NM

Active since August 31, 2012
1700 N UNION AVE, ROSWELL, NM 88201(575) 623-1303(575) 622-1903 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elite Medical Llc NPPES

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

ELITE MEDICAL LLC (NPI 1386993764) is a healthcare organization registered as a family medicine in Roswell, New Mexico and active in the NPI registry since August 2012. The organization lists Barnie P Rodriguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1386993764
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE MEDICAL LLC
Location Address1700 N UNION AVERoswell, NM 88201-3267
Mailing AddressPo Box 1974Roswell, NM 88202-1974 · (575) 623-1303 · Fax (575) 622-1903
Fax(575) 622-1903
Organization SubpartNo
Authorized OfficialBarnie P RodriguezOwner · (575) 623-1303
Enumeration DateAugust 31, 2012
Last NPPES UpdateOctober 24, 2019
✔ NPI 1386993764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 93-PA21
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1700 N UNION AVE, Roswell, NM 88201

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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Medical LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1538103197
304 S MAIN AVE
Portales, NM 88130
(575) 226-3023
✔ PECOS✔ Accepts Medicare87 mi
Nurse Practitioner
NPI 1629701776
2129 OSUNA RD NE
Albuquerque, NM 87113
(505) 898-2468
✔ PECOS✔ Accepts Medicare169 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 Elite Medical LLC's NPI number?

The NPI number for Elite Medical LLC is 1386993764. It was assigned to this organization in the NPPES registry on August 31, 2012.

Where is Elite Medical LLC located?

Elite Medical LLC is located at 1700 N Union Ave, Roswell, NM 88201. The listed phone number is (575) 623-1303.

What is Elite Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elite Medical LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Elite Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Elite Medical LLC, in Family Practice and Nurse Practitioner. 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 Elite Medical LLC was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.