1. Home
  2. Directory
  3. New Mexico
  4. Farmington
  5. Internal Medicine
  6. NPI Profile

SAN JUAN REGIONAL MEDICAL CENTER INC
NPI 1639662901
Internal Medicine - Gastroenterology in Farmington, NM

Active since June 12, 2018
630 W MAPLE ST, FARMINGTON, NM 87401(505) 609-6349(505) 599-4679 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2023, Jun 12, 2018 (2 updates tracked since 2018).

About San Juan Regional Medical Center Inc NPPES

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

SAN JUAN REGIONAL MEDICAL CENTER INC (NPI 1639662901), doing business as Sjhp Gastroenterology, is a healthcare organization registered as a gastroenterology in Farmington, New Mexico and active in the NPI registry since June 2018. The organization lists Kim R Hipsher-byrd, Administrative Director Of Reimburs, as its authorized official.

NPPES Registry Identity

NPI1639662901
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSAN JUAN REGIONAL MEDICAL CENTER INC
Location Address630 W MAPLE STFarmington, NM 87401-6113
Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2258 · Fax (505) 609-2259
Phone(505) 609-6349
Fax(505) 599-4679
Organization SubpartYes
Authorized OfficialKim R Hipsher-byrdAdministrative Director Of Reimburs · (505) 609-2258
Enumeration DateJune 12, 2018
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1639662901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
630 W MAPLE ST, Farmington, NM 87401
Open in Google Maps ↗

Other Names 1

Doing Business AsSjhp Gastroenterology

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)

San Juan Regional Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

368

Medicare enrollment records show 368 clinicians reassign Medicare billing to San Juan Regional Medical Center Inc, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 171 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Internal Medicine62
Nurse Practitioner47
Certified Registered Nurse Anesthetist (CRNA)45
Emergency Medicine41
Gastroenterology21
Family Practice15
Psychiatry15
Obstetrics/Gynecology14
24 other specialties108

Nearest to this location (20)

See all 368
Dwayne Gibbs, M.D.
General Surgery
NPI 1316073141
630 W MAPLE ST
Farmington, NM 87401
(505) 609-6300
✔ PECOSSame address
Jason Glass, M.D.
Gastroenterology
NPI 1336534528
630 W MAPLE ST
Farmington, NM 87401
(505) 609-6349
✔ PECOS✔ Accepts MedicareSame address
Lori Golzar, CNP
Nurse Practitioner
NPI 1194468199
630 W MAPLE ST
Farmington, NM 87401
(505) 609-6300
✔ PECOS✔ Accepts MedicareSame address
Aderemi Jaiyeola, MD
Gastroenterology
NPI 1467426940
630 W MAPLE ST
Farmington, NM 87401
(505) 609-6349
✔ PECOS✔ Accepts MedicareSame address
Damon Kalcich, D.O.
General Surgery
NPI 1558571851
630 W MAPLE ST
Farmington, NM 87401
(505) 609-6300
✔ PECOSSame address
James Martin, MD
Gastroenterology
NPI 1316021488
630 W MAPLE ST
Farmington, NM 87401
(505) 609-6349
✔ PECOSSame address
Peter Witt, MD
Gastroenterology
NPI 1255319877
630 W MAPLE ST
Farmington, NM 87401
(505) 609-6349
✔ PECOS✔ Accepts MedicareSame address
Anysha Gustafson, FNP-C
Nurse Practitioner
NPI 1497523963
656 W MAPLE ST
Farmington, NM 87401
(505) 609-2290
✔ PECOS✔ Accepts MedicareSame address
Patrick Oglesby, DNP
Nurse Practitioner
NPI 1225764475
656 W MAPLE ST
Farmington, NM 87401
(505) 609-2990
✔ PECOS✔ Accepts MedicareSame address
Quincy Sa'ena, DO
Osteopathic Manipulative Medicine
NPI 1316485246
656 W MAPLE ST
Farmington, NM 87401
(505) 609-2990
✔ PECOS✔ Accepts MedicareSame address
Michaela Smith, NP
Nurse Practitioner
NPI 1417843582
656 W MAPLE ST
Farmington, NM 87401
(505) 609-2990
✔ PECOS✔ Accepts MedicareSame address
Susan Gilbert, NP
Nurse Practitioner
NPI 1467195875
555 S SCHWARTZ AVE
Farmington, NM 87401
(505) 609-6680
✔ PECOS✔ Accepts Medicare0.1 mi
Jocelyne Klasen, PHD
Clinical Psychologist
NPI 1063854263
555 S SCHWARTZ AVE
Farmington, NM 87401
(505) 609-6680
✔ PECOS✔ Accepts Medicare0.1 mi
Ariadna Sadzine-Bessinger, M.D.
Psychiatry
NPI 1689633893
555 S SCHWARTZ AVE
Farmington, NM 87401
(505) 609-6680
✔ PECOS✔ Accepts Medicare0.1 mi
Stephen Bernard, M.D.
Cardiovascular Disease (Cardiology)
NPI 1306896246
407 S SCHWARTZ AVE STE 202
Farmington, NM 87401
(505) 609-6770
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Blankenbaker, MD
Interventional Cardiology
NPI 1639273253
407 S SCHWARTZ AVE STE 202
Farmington, NM 87401
(505) 609-6770
✔ PECOS✔ Accepts Medicare0.1 mi
Dominic Cannella, M.D.
Neurosurgery
NPI 1336191477
407 S SCHWARTZ AVE STE 101
Farmington, NM 87401
(505) 609-6595
✔ PECOS✔ Accepts Medicare0.1 mi
Tejwant Dhillon, M.D.
Internal Medicine
NPI 1356395800
407 S SCHWARTZ AVE STE 202
Farmington, NM 87401
(505) 609-6770
✔ PECOS✔ Accepts Medicare0.1 mi
Joseph Korah, M.D.
Pulmonary Disease
NPI 1396940813
407 S SCHWARTZ AVE STE 202
Farmington, NM 87401
(505) 609-6770
✔ PECOS✔ Accepts Medicare0.1 mi
Carletta Thompson, M.D.
Physical Medicine and Rehabilitation
NPI 1770509044
407 S SCHWARTZ AVE STE 101
Farmington, NM 87401
(505) 609-6595
✔ PECOS✔ Accepts Medicare0.1 mi
See all 368 clinicians

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 San Juan Regional Medical Center Inc's NPI number?

The NPI number for San Juan Regional Medical Center Inc is 1639662901. It was assigned to this organization in the NPPES registry on June 12, 2018. The provider is doing business as Sjhp Gastroenterology.

Where is San Juan Regional Medical Center Inc located?

San Juan Regional Medical Center Inc is located at 630 W Maple St, Farmington, NM 87401. The listed phone number is (505) 609-6349.

What is San Juan Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is San Juan Regional Medical Center Inc enrolled in Medicare?

Yes. San Juan Regional Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Juan Regional Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 368 clinicians in 32 Medicare specialties reassign their Medicare billing to San Juan Regional Medical Center Inc. 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 Internal Medicine (62), Nurse Practitioner (47) and Certified Registered Nurse Anesthetist (CRNA) (45). Of these, 11 practice at this address and 171 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 San Juan Regional Medical Center Inc was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.