Pangea Medical LLC
NPI 1255786703 · Psychiatry Physician · Roswell, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pangea Medical LLC is a Psychiatry Physician organization in Roswell, NM (NPI 1255786703).
Provider details
- NPI number
- 1255786703
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Black, Managing Member(575) 624-2095
- License
- MD2011-0547 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Doing business as
- Pangea Medical
- Doing business as
- Pangea Medical
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2022-10-21
- Certified
- 2022-10-21
Frequently asked questions
- What is Pangea Medical LLC's NPI number?
- Pangea Medical LLC's National Provider Identifier (NPI) is 1255786703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pangea Medical LLC?
- Pangea Medical LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Pangea Medical LLC located?
- Pangea Medical LLC's practice location on file with NPPES is 405 W Country Club Rd, Roswell, NM 88201-5209.
- What is Pangea Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Pangea Medical LLC is (575) 624-2095.
- Does Pangea Medical LLC accept Medicare?
- Pangea Medical 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 Pangea Medical LLC?
- The authorized official listed on Pangea Medical LLC's NPPES record is Steven Black, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pangea Medical LLC's NPI active?
- Yes — Pangea Medical LLC's NPI (1255786703) is active in the NPPES registry as of the last update on 2022-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.