ROBERT L. NICHOLS MD – NPI #1679634562
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ROBERT NICHOLS is a physician located in SANTA TERESA, NM. NPPES has assigned the NPI number 1679634562 to ROBERT NICHOLS on December 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT NICHOLS below.

NPI Profile for
ROBERT L. NICHOLS

NPI Number
1679634562
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT L. NICHOLS
Credentials
MD
Primary location
1300 COUNTRY CLUB ROAD
SANTA TERESA, NM 88008
Phone: (505) 589-4000 Fax: (505) 589-7225
Mailing address
PO BOX 1558
SANTA TERESA, NM 88008
Phone: (505) 589-4000 Fax: (505) 589-7225
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 NM 94-344
207Q00000X
- Family Medicine		 NM 94-344

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE - Graduated 1993
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROBERT NICHOLS is affiliated with the following medical group(s):
  • HOSPITAL
    • THE HOSPITALS OF PROVIDENCE - SIERRA CAMPUS
      1625 MEDICAL CENTER DR
      EL PASO, TX 79902

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