MARITZA PROANO (M.D.) – Gastroenterology Physician, NPI 1194742676

MARITZA PROANO (M.D.) is a healthcare provider. based in Farmington, New Mexico. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. MD2025-0654 (NM). The NPI Number for MARITZA PROANO (M.D.) is 1194742676

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MARITZA PROANO (M.D.)
NPI
1194742676
Phone
(505) 609-6349
Address
630 W Maple St
Enumeration Date
17 July 2006
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
5056096349
Graduation Year
1984 (42 years ago)
PAC ID
1759395817
Group Practice PAC ID
4587559505
Professional Enrollment ID
I20250724001764
Address ID
NM874016113FA630XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

114 GASTROENTEROLOGY in NM

Provider Addresses for MARITZA PROANO (M.D.)

  • 630 W Maple St

    Farmington, NM 874016113

    Phone: (505) 609-6349

    Type: Location

  • 1600 N GRAND AVE

    SUITE 440

    PUEBLO, CO 810032760

    Phone: (719) 543-3500

    Fax: (719) 543-3504

    Type: Mailing

  • Cole Farm Boulevard, Port Dalhousie, St. Catharines, Niagara Region, Golden Horseshoe, Ontario, L2N 4W1, Canada

    # 100

    GOLDEN, CO 80401

    Phone: (303) 716-8018

    Fax: (303) 763-5495

    Type: Mailing

  • 1536, Cole Boulevard, Lakewood, Jefferson County, Colorado, 80401, United States

    # 4-250

    LAKEWOOD, CO 80401

    Phone: (303) 716-8027

    Fax: (303) 238-5258

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170228000817IGastroenterologyCOTBD
I20250724001764IGastroenterologyNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity193109$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare120120$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope106104$0
88313Special stained specimen slides to examine tissue including interpretation and report9051$0
88312Special stained specimen slides to identify organisms including interpretation and report7345$0
View full utilization report →

Insurance plans in this area (ZIP 87401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587559505View full group profile
NameSpecialtyState
-ME
-NM
Internal Medicine, Hospitalist, Internal MedicineNM
Physician AssistantTX
-MN
Certified Registered Nurse Anesthetist (Crna)NM
Clinical PsychologistTX
Internal Medicine, Nephrology, HospitalistND
-NM
N E U R O L O G YTX

Reviews

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Frequently asked questions

Does MARITZA PROANO (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARITZA PROANO (M.D.) uses 1194742676.
Can I rely on MARITZA PROANO (M.D.) being an active provider?
As of the registry snapshot, MARITZA PROANO (M.D.) is marked active.
What is MARITZA PROANO (M.D.) best known for clinically?
Directory data describes MARITZA PROANO (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MARITZA PROANO (M.D.) on a map?
Expect Farmington, New Mexico as a primary anchor for MARITZA PROANO (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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