SAN LUIS VALLEY HEALTH STUART AVENUE CLINIC
NPI 1972556744
Internal Medicine in Alamosa, CO
About San Luis Valley Health Stuart Avenue Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN LUIS VALLEY HEALTH STUART AVENUE CLINIC (NPI 1972556744) is a healthcare organization registered as an internal medicine in Alamosa, Colorado and active in the NPI registry since May 2006. The organization lists Konnie Martin, C.e.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Names 1
Other Identifiers 1
Group Practice 1
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)
San Luis Valley Health Stuart Avenue Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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.
Clinicians Billing Medicare Through This Organization
203Medicare enrollment records show 203 clinicians reassign Medicare billing to San Luis Valley Health Stuart Avenue Clinic, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 203Source: 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 Lutheran Hospital Association Of The San Luis Valley's NPI number?
The NPI number for Lutheran Hospital Association Of The San Luis Valley is 1972556744. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as San Luis Valley Health Stuart Avenue Clinic.
Where is Lutheran Hospital Association Of The San Luis Valley located?
Lutheran Hospital Association Of The San Luis Valley is located at 2115 Stuart Ave, Alamosa, CO 81101. The listed phone number is (719) 589-3000.
What is Lutheran Hospital Association Of The San Luis Valley's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Lutheran Hospital Association Of The San Luis Valley enrolled in Medicare?
Yes. Lutheran Hospital Association Of The San Luis Valley is registered in the Medicare PECOS enrollment system.
When is Lutheran Hospital Association Of The San Luis Valley'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 (Colorado, Clinic/Group Practice) is due for revalidation by March 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 Lutheran Hospital Association Of The San Luis Valley?
According to the CMS Revalidation Reassignment List (October 2026 release), 203 clinicians in 27 Medicare specialties reassign their Medicare billing to Lutheran Hospital Association Of The San Luis Valley. 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 Emergency Medicine (42), Diagnostic Radiology (35) and Obstetrics/Gynecology (19). Of these, 9 practice at this address and 26 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 Lutheran Hospital Association Of The San Luis Valley was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# San Luis Valley Health Stuart Avenue Clinic · NPI 1972556744
Internal Medicine organization in Alamosa, Colorado. Organization record, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1972556744 (Entity type: Organization)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Lutheran Hospital Association Of The San Luis Valley
- **Organization subpart:** Yes (part of Lutheran Hospital Association Of The San Luis Valley)
- **Authorized official:** Konnie Martin, C.E.O.
## Practice location
- **Address:** 2115 STUART AVE, Alamosa, CO 81101-2269
- **Phone:** (719) 589-3000 · **Fax:** (719) 587-1372
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 203 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (42), Diagnostic Radiology (35), Obstetrics/Gynecology (19); 9 practice at this address and 26 within 10 miles; [full list](https://npiprofile.com/npi/1972556744/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2020
- **Other identifiers:** Medicaid 11777869 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1972556744) · Data from the CMS NPPES public registry.