Individual provider

Edison Etsitty, M.D.

Obstetrics & Gynecology Physician Medicare enrolled

Edison Etsitty, M.D. is an Obstetrics & Gynecology Physician in Santa Fe, NM, registered under NPI 1376521500.

Getting there

The practice address on file is 465 SAINT MICHAELS DR SUITE 202, Santa Fe, NM 87505. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

465 SAINT MICHAELS DR SUITE 202, Santa Fe, NM 87505 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2002-0299 NM Obstetrics & Gynecology Physician primary

This provider holds licence 2002-0299 issued in NM. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
1951447986
Enrollment ID
I20091006000219

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Obstetrics & Gynecology covers

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1376521500 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 6, 2006
Last updatedFeb 10, 2011
StatusActive
Sole proprietorNo
GenderMale
CredentialM.D.
Practice address 465 SAINT MICHAELS DR
SUITE 202
Santa Fe, NM 87505
(505) 984-0303
Fax (505) 984-1116
Other identifiers 10003903 · Other (NM)
160058344 · Other
201038402 · Other (NM)
50733826 · Medicaid (NM)
723040 · Medicaid (AZ)
850313268020 · Other
NM009C04 · Other (NM)
PROVP12721 · Other
This record was last updated on Feb 10, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1376521500 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 7 6 5 2 1 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 5 6 1 2 2 5 0

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1376521500?
NPI 1376521500 is the National Provider Identifier assigned to Edison Etsitty, M.D. in Santa Fe, NM. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Obstetrics & Gynecology Physician cover?
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
How do I contact Edison Etsitty, M.D.?
The phone number on file with NPPES is (505) 984-0303, last updated Feb 10, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Edison Etsitty, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1376521500 a valid number?
Yes. 1376521500 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.