Nitovo Healthcare Llc is a medicare enrolled primary clinic (Family Medicine) in Chama, New Mexico. The current practice location for Nitovo Healthcare Llc is 2500 Us Highway 84, Chama, New Mexico. For appointments, you can reach them via phone at
(505) 305-7766. The mailing address for Nitovo Healthcare Llc is 2500 Us Highway 84, Chama, New Mexico and phone number is (505) 305-7766.
Nitovo Healthcare Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1124703525. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(505) 305-7766.
Primary Care Clinic Profile
| Full Name | Nitovo Healthcare Llc |
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| Speciality | Family Medicine |
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| Location | 2500 Us Highway 84, Chama, New Mexico |
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| Authorized Official Name and Position | Suresh Neelagaru (OWNER) |
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| Authorized Official Contact | 5055069638 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nitovo Healthcare Llc
2500 Us Highway 84
Chama
NM 87520-0784
Ph: (505) 305-7766 | Nitovo Healthcare Llc
2500 Us Highway 84
Chama
NM 87520-0784
Ph: (505) 305-7766 |
NPI Details:
| NPI Number | 1124703525 |
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| Provider Enumeration Date | 06/21/2023 |
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| Last Update Date | 06/21/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6002277019 |
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| Medicare Enrollment ID | O20230807001521 |
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Medical Identifiers
Medical identifiers for Nitovo Healthcare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124703525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Nitovo Healthcare Llc acts as a billing entity for following providers:
| Provider Name | Anastasiia Neelagaru |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1114284445
PECOS PAC ID: 5496037608
Enrollment ID: I20220503002264 |
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| Provider Name | Suresh B Neelagaru |
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| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
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| Provider Identifiers | NPI Number: 1205813920
PECOS PAC ID: 4284605437
Enrollment ID: I20230104000860 |
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