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DANIEL LYMAN RIDOUT MD NPI 1265427504


NPI Information

NPI: 1265427504
Provider Name: DANIEL LYMAN RIDOUT, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Organization: ROSWELL CLINIC CORP

PECOS Registration: Yes

Address:
350 W COUNTRY CLUB RD
SUITE #105
ROSWELL, NM
ZIP 88201
Phone: (575) 624-4651
Get Directions

Daniel Lyman Ridout, MD is a gastroenterology internal medicine in Roswell, NM with 45 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Daniel Lyman Ridout, MD NPI is 1265427504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:1979

The provider's business location address is:

350 W COUNTRY CLUB RD
SUITE #105
ROSWELL, NM
ZIP 88201-205
Phone: (575) 624-4651
Fax: (575) 624-4875

The NPI 1265427504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)

The enumeration date for this NPI number is 9/13/2005 and was last updated on 9/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology0101237677VIRGINIANo
2207RG0100XInternal MedicineGastroenterologyMD2015-0106NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NPI & TINOTHERNEW MEXICOBLUE CROSS BLUE SHIELD OF NM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.