DR. PRETTY SARA IDICULLA MD
NPI 1811647522
Internal Medicine in Las Cruces, NM

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
4311 E LOHMAN AVE STE 300, LAS CRUCES, NM 88011(575) 556-7600 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pretty Sara Idiculla Md NPPES

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

DR. PRETTY SARA IDICULLA MD (NPI 1811647522) is an individual internal medicine provider in Las Cruces, New Mexico, licensed in New Mexico (MD2025-0863) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Mountain View Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1811647522
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRETTY SARA IDICULLACredential: MD
Location Address4311 E LOHMAN AVE STE 300Las Cruces, NM 88011-8255
Mailing Address4351 E Lohman Ave Ste 300Las Cruces, NM 88011-8262
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 25, 2022
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1811647522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2025-0863
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4311 E LOHMAN AVE STE 300, Las Cruces, NM 88011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pretty Sara Idiculla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799286837
PECOS Enrollment IDI20250829001108
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Pretty Idiculla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
4311 E LOHMAN AVE
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 238 clinicians in this Medicare group
Orthopaedic Surgery
4351 E LOHMAN AVE, SUITE 200
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 155 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Three Crosses Regional Hospital LLC

Acute Care Hospitals · Las Cruces, NM
OwnershipProprietary
CMS Certification Number320091
Location2560 Samaritan DriveLas Cruces, NM 88001 · Dona Ana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Pretty Idiculla's NPI number?

The NPI number for Pretty Idiculla is 1811647522. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Pretty Idiculla located?

Pretty Idiculla practices at 4311 E Lohman Ave Ste 300, Las Cruces, NM 88011. The listed phone number is (575) 556-7600.

What is Pretty Idiculla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pretty Idiculla enrolled in Medicare?

Yes. Pretty Idiculla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pretty Idiculla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pretty Idiculla reassigns Medicare benefits to 2 organizations: Las Cruces Hb Medical Services LLC (Las Cruces, NM) and Las Cruces Physician Services LLC (Las Cruces, NM). Each 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 Pretty Idiculla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pretty Idiculla affiliated with any hospitals?

According to CMS data, Pretty Idiculla is affiliated with Mountain View Regional Medical Center and Three Crosses Regional Hospital LLC.

When was this NPI record last updated?

The NPPES record for Pretty Idiculla was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.