LAS CRUCES FAMILY MEDICINE LLC
NPI 1700197001
Family Medicine in Las Cruces, NM

Active since July 01, 2010
2930 HILLRISE DR, SUITE 2, LAS CRUCES, NM 88011(575) 532-1111(575) 532-1122 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Las Cruces Family Medicine Llc NPPES

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

LAS CRUCES FAMILY MEDICINE LLC (NPI 1700197001) is a healthcare organization registered as a family medicine in Las Cruces, New Mexico and active in the NPI registry since July 2010. The organization lists Imran Raza, M.d./owner, as its authorized official.

NPPES Registry Identity

NPI1700197001
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAS CRUCES FAMILY MEDICINE LLC
Location Address2930 HILLRISE DR, SUITE 2Las Cruces, NM 88011-4776
Mailing Address2930 Hillrise Dr, Suite 2Las Cruces, NM 88011-4776 · (575) 532-1111 · Fax (575) 532-1122
Fax(575) 532-1122
Organization SubpartNo
Authorized OfficialImran RazaM.d./owner · (575) 532-1111
Enumeration DateJuly 1, 2010
Last NPPES UpdateApril 29, 2011
✔ NPI 1700197001 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 · MD2010-0103
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.
2930 HILLRISE DR, Las Cruces, NM 88011

Other Identifiers 1

Medicaid53376081NM

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Las Cruces Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20110325000383Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Las Cruces Family Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1336318591
3320 RINCONADA BLVD STE 2
Las Cruces, NM 88011
(575) 532-1111
✔ PECOS✔ Accepts Medicare4.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2013005

Las Cruces Family Medicine LLC · Las Cruces, NM
Expired · Sep 12, 2026
CLIA Number32D2013005
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorDr. Imran Raza
Laboratory Phone(575) 532-1111
Laboratory LocationLas Cruces Family Medicine LLC2930 Hillrise Drive #2, Las Cruces, NM 88011
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Las Cruces Family Medicine LLC's NPI number?

The NPI number for Las Cruces Family Medicine LLC is 1700197001. It was assigned to this organization in the NPPES registry on July 1, 2010.

Where is Las Cruces Family Medicine LLC located?

Las Cruces Family Medicine LLC is located at 2930 Hillrise Dr Suite 2, Las Cruces, NM 88011. The listed phone number is (575) 532-1111.

What is Las Cruces Family Medicine LLC's specialty?

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

Is Las Cruces Family Medicine LLC enrolled in Medicare?

Yes. Las Cruces Family Medicine LLC is registered in the Medicare PECOS enrollment system.

When is Las Cruces Family Medicine LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Las Cruces Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Las Cruces Family Medicine LLC. 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 Las Cruces Family Medicine LLC was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.