SANTO DOMINGO HEALTH CENTER
NPI 1467739888
Clinic/Center - Federally Qualified Health Center (FQHC) in Santo Domingo Pueblo, NM
About Santo Domingo Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTO DOMINGO HEALTH CENTER (NPI 1467739888) is a healthcare organization registered as a federally qualified health center (fqhc) in Santo Domingo Pueblo, New Mexico and active in the NPI registry since November 2011. The organization lists Jimmie R Charlie, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Santo Domingo Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to Santo Domingo Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 52Source: 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 Kewa Pueblo Health Corporation's NPI number?
The NPI number for Kewa Pueblo Health Corporation is 1467739888. It was assigned to this organization in the NPPES registry on November 14, 2011. The provider is also known as Santo Domingo Health Center.
Where is Kewa Pueblo Health Corporation located?
Kewa Pueblo Health Corporation is located at 85 W Highway 22, Santo Domingo Pueblo, NM 87052. The listed phone number is (505) 465-3060.
What is Kewa Pueblo Health Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Kewa Pueblo Health Corporation enrolled in Medicare?
Yes. Kewa Pueblo Health Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kewa Pueblo Health Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 16 Medicare specialties reassign their Medicare billing to Kewa Pueblo Health Corporation. 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. The largest specialties are Family Practice (18), Nurse Practitioner (8) and Optometry (5). Of these, 3 practice at this address and 8 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 Kewa Pueblo Health Corporation was last updated on February 22, 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.
# Santo Domingo Health Center · NPI 1467739888
Federally Qualified Health Center (FQHC) organization in Santo Domingo Pueblo, New Mexico. Organization record, active in the CMS NPPES registry since November 14, 2011.
## Identity
- **NPI:** 1467739888 (Entity type: Organization)
- **Enumerated:** November 14, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Kewa Pueblo Health Corporation
- **Organization subpart:** Yes (part of Kewa Pueblo Health Corporation)
- **Authorized official:** Jimmie Charlie, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 85 W HIGHWAY 22, Santo Domingo Pueblo, NM 87052-0559
- **Phone:** (505) 465-3060 · **Fax:** (505) 465-1191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (18), Nurse Practitioner (8), Optometry (5); 3 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1467739888/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467739888) · Data from the CMS NPPES public registry.