Supam LLC
NPI 1104118884 · Clinic/Center · Hobbs, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supam LLC is a Clinic/Center organization in Hobbs, NM (NPI 1104118884).
Provider details
- NPI number
- 1104118884
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mukeshbhai Patel, Owner(732) 713-2824
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-12
- Last updated
- 2012-03-01
Frequently asked questions
- What is Supam LLC's NPI number?
- Supam LLC's National Provider Identifier (NPI) is 1104118884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supam LLC?
- Supam LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Supam LLC located?
- Supam LLC's practice location on file with NPPES is 5419 North Lovington Highway, Hobbs, NM 88240-9135.
- What is Supam LLC's phone number?
- The practice phone number listed in the NPPES registry for Supam LLC is (575) 392-3903.
- Does Supam LLC accept Medicare?
- Supam LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Supam LLC?
- The authorized official listed on Supam LLC's NPPES record is Mukeshbhai Patel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supam LLC's NPI active?
- Yes — Supam LLC's NPI (1104118884) is active in the NPPES registry as of the last update on 2012-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.