Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Ryan Petty

Individual provider Urology Physician · NPI 1407485808

Mitchell Ryan Petty is an Urology in Carlsbad, New Mexico. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2020, 6 years ago. Practices with Pecos Valley of New Mexico LLC, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
6
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
NM
In the registry since
2020

Practice location Address checks out

2420 W Pierce St Ste 102
Carlsbad, NM 88220-3517
Phone: (575) 887-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 419 W San Antonio St, Lockhart, TX 78644-2657 — (512) 913-8036

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence DO2025-0162 (NM)

Record details

NPI number1407485808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2020 (6 years in practice)
Group practice Pecos Valley Of New Mexico Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carlsbad