San Miguel Clinic Corp
NPI 1114920717 · Family Medicine Physician · Las Vegas, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Miguel Clinic Corp is a Family Medicine Physician organization in Las Vegas, NM (NPI 1114920717).
Provider details
- NPI number
- 1114920717
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Fey, Director Revenue Cycle(615) 221-3641
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
- 2005-05-27
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Frequently asked questions
- What is San Miguel Clinic Corp's NPI number?
- San Miguel Clinic Corp's National Provider Identifier (NPI) is 1114920717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Miguel Clinic Corp?
- San Miguel Clinic Corp is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is San Miguel Clinic Corp located?
- San Miguel Clinic Corp's practice location on file with NPPES is 108 Legion Dr Ste a, Las Vegas, NM 87701-4898.
- What is San Miguel Clinic Corp's phone number?
- The practice phone number listed in the NPPES registry for San Miguel Clinic Corp is (505) 454-9499.
- Does San Miguel Clinic Corp accept Medicare?
- San Miguel Clinic Corp 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 San Miguel Clinic Corp?
- The authorized official listed on San Miguel Clinic Corp's NPPES record is Laura Fey, Director Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Miguel Clinic Corp's NPI active?
- Yes — San Miguel Clinic Corp's NPI (1114920717) is active in the NPPES registry as of the last update on 2023-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.