BHASKER MEDICAL CLINIC PC
NPI 1821189101
Family Medicine in Socorro, NM

Q: What is Bhasker Medical Clinic PC's NPI number?

The NPI number for Bhasker Medical Clinic PC is 1821189101. It was assigned to this organization in the NPPES registry on September 28, 2006.

Q: What is Bhasker Medical Clinic PC's specialty?

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

Active since September 28, 2006CLIA 32D0536895 · Waiver

200 NEEL AVE, SOCORRO, NM 87801(575) 835-2940(575) 835-2216 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bhasker Medical Clinic Pc NPPES

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

BHASKER MEDICAL CLINIC PC (NPI 1821189101) is a healthcare organization registered as a family medicine in Socorro, New Mexico and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Addy Bhasker, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821189101

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBHASKER MEDICAL CLINIC PC

Location Address200 NEEL AVESocorro, NM 87801-4649

Mailing Address200 Neel AveSocorro, NM 87801-4649 · (575) 835-2940 · Fax (575) 835-2216

Phone(575) 835-2940

Fax(575) 835-2216

Organization SubpartNo

Authorized OfficialAddy BhaskerAdministrator · (575) 835-2940

Enumeration DateSeptember 28, 2006

Last NPPES UpdateSeptember 9, 2015

✔ NPI 1821189101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

Also ListedInternal MedicineTaxonomy 207R00000X

200 NEEL AVE, Socorro, NM 87801

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Other Identifiers 5

Medicare ID-Type Unspecified2371968NM

Medicare NSC0326250001NM

Other201051377NM · Prejb

Medicare UPIN2371968NM

Medicaid44073NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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 32D0536895

Bhasker Medical Clinic · Socorro, NM

Active · expires Oct 5, 2027

CLIA Number32D0536895

Laboratory TypePhysician Office

Certificate Effective DateOctober 6, 2025

Certificate Expiration DateOctober 5, 2027

Laboratory DirectorDr. Ravi Bhasker

Laboratory Phone(575) 835-2940

Laboratory LocationBhasker Medical Clinic200 Neel Avenue NW, Socorro, NM 87801

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL ANGEL

Case Manager/Care Coordinator