N/A
NPI 1548472830
General Practice in Clovis, NM

Active since May 07, 2007
815 W 14TH ST, CLOVIS, NM 88101(505) 762-6492(505) 769-8236 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About N/a NPPES

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

N/A (NPI 1548472830) is a healthcare organization registered as a general practice in Clovis, New Mexico and active in the NPI registry since May 2007. The organization lists Ali M Ghaffari, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1548472830
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUE AND RED BIRD CORP PC
Location Address815 W 14TH STClovis, NM 88101-5514
Mailing Address815 W 14th StClovis, NM 88101-5514 · (505) 762-6492 · Fax (505) 769-8236
Fax(505) 769-8236
Organization SubpartNo
Authorized OfficialAli M GhaffariMedical Director · (505) 762-6492
Enumeration DateMay 7, 2007
Last NPPES UpdateOctober 26, 2016
✔ NPI 1548472830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
815 W 14TH ST, Clovis, NM 88101

Other Identifiers 3

Medicare ID-Type Unspecified700521052NM
MedicaidS2511NM
Medicare UPINC97783NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

N/a 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 N/A, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1881647352
815 WEST 14TH ST
Clovis, NM 88101
(505) 762-6492
✔ PECOS✔ Accepts MedicareSame address

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 Blue And Red Bird Corp PC's NPI number?

The NPI number for Blue And Red Bird Corp PC is 1548472830. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Blue And Red Bird Corp PC located?

Blue And Red Bird Corp PC is located at 815 W 14th St, Clovis, NM 88101. The listed phone number is (505) 762-6492.

What is Blue And Red Bird Corp PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Blue And Red Bird Corp PC enrolled in Medicare?

Yes. Blue And Red Bird Corp PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue And Red Bird Corp PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Blue And Red Bird Corp PC. 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 Blue And Red Bird Corp PC was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.