Davita Medical Group - Medicare Primary Care in Albuquerque, NM

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Davita Medical Group is a medicare enrolled primary clinic (Family Medicine) in Albuquerque, New Mexico. The current practice location for Davita Medical Group is 2901 Transport St Se, Albuquerque, New Mexico. For appointments, you can reach them via phone at (505) 262-7000. The mailing address for Davita Medical Group is Po Box 26028, Albuquerque, New Mexico and phone number is (505) 262-7000.

Davita Medical Group is licensed to practice in New Mexico (license number 32D0685327). The clinic also participates in the medicare program and its NPI number is 1124053210. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 262-7000.

Contact Information

Davita Medical Group
2901 Transport St Se
Albuquerque
NM 87106-4382
(505) 262-7000
(505) 262-7652

Map and Direction


Primary Care Clinic Profile

Full NameDavita Medical Group
SpecialityFamily Medicine
Location2901 Transport St Se, Albuquerque, New Mexico
Authorized Official Name and PositionEmily Castillo (ASSOCIATE DIRECTOR)
Authorized Official Contact7024802550
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Davita Medical Group
Po Box 26028
Albuquerque
NM 87125-6028

Ph: (505) 262-7000		Davita Medical Group
2901 Transport St Se
Albuquerque
NM 87106-4382

Ph: (505) 262-7000

NPI Details:

NPI Number1124053210
Provider Enumeration Date07/11/2006
Last Update Date03/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9032125810
Medicare Enrollment IDO20060302000704

Medical Identifiers

Medical identifiers for Davita Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124053210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 32D0685327 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Davita Medical Group acts as a billing entity for following providers:
Provider NameMichael A Montoya
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215046545
PECOS PAC ID: 5294639449
Enrollment ID: I20031120000550
Provider NameH Preston Matthews
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174546295
PECOS PAC ID: 3870495351
Enrollment ID: I20040124000035
Provider NameClare Castiglia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992730675
PECOS PAC ID: 3375446230
Enrollment ID: I20040128000982
Provider NameMichael Malizzo
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1538182647
PECOS PAC ID: 4880679117
Enrollment ID: I20040622000016
Provider NameMelvin L Romero
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164405064
PECOS PAC ID: 8123005154
Enrollment ID: I20040707000616
Provider NameJoseph M Ramirez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336174317
PECOS PAC ID: 2365418068
Enrollment ID: I20050204000289
Provider NameLara L Goss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316942501
PECOS PAC ID: 3072584366
Enrollment ID: I20050330000130
Provider NameAngela L Romero
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699757187
PECOS PAC ID: 4385699859
Enrollment ID: I20050428001288
Provider NameRoderick K. Mcveety
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558384735
PECOS PAC ID: 0446160360
Enrollment ID: I20050610000527
Provider NamePercy Pentecost
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750377412
PECOS PAC ID: 5496799892
Enrollment ID: I20050815000328
Provider NameGilberto Heredia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649299942
PECOS PAC ID: 4880590850
Enrollment ID: I20051107000646
Provider NameLeslie H Ward
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063447258
PECOS PAC ID: 0042236275
Enrollment ID: I20051109001244
Provider NameArlene Bagga
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1962417410
PECOS PAC ID: 1759315823
Enrollment ID: I20051115000166
Provider NamePawitta Kasemsap
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922031426
PECOS PAC ID: 2961419825
Enrollment ID: I20060317000152
Provider NamePeter S Koenigsberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366475865
PECOS PAC ID: 5395752265
Enrollment ID: I20060317000179
Provider NameDenise E Aamodt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336172998
PECOS PAC ID: 5799792602
Enrollment ID: I20060317000500
Provider NamePatricia A Carabajal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255366274
PECOS PAC ID: 8820005648
Enrollment ID: I20060320000169
Provider NameJames M Etre
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053346155
PECOS PAC ID: 9739196593
Enrollment ID: I20060320000418
Provider NameJack J Greenberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366465460
PECOS PAC ID: 0749297513
Enrollment ID: I20060320000511
Provider NameMarlyn A Newby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629091731
PECOS PAC ID: 7618984410
Enrollment ID: I20060320000729
Provider NameFrank X Osullivan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043243629
PECOS PAC ID: 9739197369
Enrollment ID: I20060323000508
Provider NameJorge Sedas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710910203
PECOS PAC ID: 9335157999
Enrollment ID: I20060323000722
Provider NameWilliam C Syme
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1457374555
PECOS PAC ID: 2466460027
Enrollment ID: I20060323000775
Provider NameJames F Russo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154356277
PECOS PAC ID: 2365450897
Enrollment ID: I20060324000618
Provider NameJeremy M Gleeson
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1215960893
PECOS PAC ID: 4981612256
Enrollment ID: I20060328000473
Provider NameSeth L Launer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1184659112
PECOS PAC ID: 3577571876
Enrollment ID: I20060328000730
Provider NameJan P Goldthwait
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538275672
PECOS PAC ID: 8527086495
Enrollment ID: I20070105000015
Provider NameDavid D Schneider
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417046483
PECOS PAC ID: 4880796507
Enrollment ID: I20070227000671
Provider NameJoseph D Tran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790753093
PECOS PAC ID: 9133226293
Enrollment ID: I20070524000243
Provider NameGerhard Y Nyase
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114940822
PECOS PAC ID: 5597865303
Enrollment ID: I20070710000185
Provider NameRobert A Taylor
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1750397360
PECOS PAC ID: 4183710833
Enrollment ID: I20071011000319
Provider NameMaher Belmamoun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306847025
PECOS PAC ID: 6406861905
Enrollment ID: I20080326000362
Provider NameCarolyn M Castillo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487764387
PECOS PAC ID: 9234218801
Enrollment ID: I20080507000441
Provider NameHolly M Couture
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639353402
PECOS PAC ID: 8325125982
Enrollment ID: I20080602000855
Provider NameDonald J Ortiz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841309176
PECOS PAC ID: 3678648656
Enrollment ID: I20080903000561
Provider NameAnnette M Maxedon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306967930
PECOS PAC ID: 0345304457
Enrollment ID: I20090203000671
Provider NameKyle I Schoenberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023134863
PECOS PAC ID: 5193813749
Enrollment ID: I20090325000366
Provider NameChidinma Anozie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982851192
PECOS PAC ID: 5597819235
Enrollment ID: I20090814000586
Provider NameAnthony Miller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770531204
PECOS PAC ID: 3779574512
Enrollment ID: I20090825000288
Provider NameNorah E Walsh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215945373
PECOS PAC ID: 3072551654
Enrollment ID: I20101214000471
Provider NameNishiena S Gandhi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1669527438
PECOS PAC ID: 6608063730
Enrollment ID: I20101215000182
Provider NameJoseph R Aragon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790839694
PECOS PAC ID: 0941393326
Enrollment ID: I20110120000564
Provider NamePatricia M Engleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528159100
PECOS PAC ID: 4981883089
Enrollment ID: I20110121000097
Provider NameJacquelyn Reeve
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043511256
PECOS PAC ID: 1456352525
Enrollment ID: I20110405000297
Provider NameMichael Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700947744
PECOS PAC ID: 5092785915
Enrollment ID: I20110412000073
Provider NameKirsten V Silvey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720284656
PECOS PAC ID: 8426228149
Enrollment ID: I20110906000714
Provider NameAleksandr Tsigelnitskiy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518264308
PECOS PAC ID: 9234301722
Enrollment ID: I20111005000306
Provider NameAlicia Pruitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366436321
PECOS PAC ID: 0244381598
Enrollment ID: I20111111000447
Provider NameLois B Moss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598047706
PECOS PAC ID: 2163679796
Enrollment ID: I20120907000280
Provider NameStephanie J Rael
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1588860381
PECOS PAC ID: 1153570528
Enrollment ID: I20120927000804
Provider NameJean-paul Dedam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649486770
PECOS PAC ID: 4486791001
Enrollment ID: I20140429001842
Provider NameStacy L Pleasant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073929238
PECOS PAC ID: 0547482473
Enrollment ID: I20141110001553
Provider NameRyan L Asher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124435235
PECOS PAC ID: 3476775255
Enrollment ID: I20141111001109
Provider NameJamie Giesbrandt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700020179
PECOS PAC ID: 3779720289
Enrollment ID: I20150401001319
Provider NameLaura K Foreman
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1447515952
PECOS PAC ID: 6507184470
Enrollment ID: I20150406002042
Provider NameCesar B Rodriguez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124368055
PECOS PAC ID: 9537475660
Enrollment ID: I20150903000687
Provider NameAnnmarie Foley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902221005
PECOS PAC ID: 2567695521
Enrollment ID: I20161222000279
Provider NameDianne Crowley
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1962871582
PECOS PAC ID: 2264714302
Enrollment ID: I20170124003027
Provider NameJacob M Armijo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841520848
PECOS PAC ID: 0143455121
Enrollment ID: I20170330001445
Provider NameRita Suharli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659724193
PECOS PAC ID: 1254617632
Enrollment ID: I20170419002733
Provider NameDennis J Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720051964
PECOS PAC ID: 6901179894
Enrollment ID: I20170828003941
Provider NameNancy Molinar
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194250548
PECOS PAC ID: 3072874783
Enrollment ID: I20180220002697
Provider NameSonya M Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619532066
PECOS PAC ID: 1052645918
Enrollment ID: I20190626001753
Provider NameLea Rotenberg Koshkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043610488
PECOS PAC ID: 4981999653
Enrollment ID: I20191024000280
Provider NameDeborah A Schwartz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457707150
PECOS PAC ID: 3577859107
Enrollment ID: I20191031002423
Provider NameVanessa Jm Al Rashida
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184010043
PECOS PAC ID: 3375858947
Enrollment ID: I20191108002405
Provider NameJaren Robert Trost
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1245617091
PECOS PAC ID: 9335459510
Enrollment ID: I20200716002352
Provider NameBryan Andrew Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861000457
PECOS PAC ID: 8527487115
Enrollment ID: I20201001000176
Provider NameAdam Ulibarri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043744824
PECOS PAC ID: 5193093532
Enrollment ID: I20201013000819
Provider NameSheila Mae Kourakos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447883749
PECOS PAC ID: 6103236773
Enrollment ID: I20201110002585
Provider NameAriel A Nunez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912513870
PECOS PAC ID: 8628481637
Enrollment ID: I20210113000367
Provider NameRozita Dayani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932706223
PECOS PAC ID: 2567875339
Enrollment ID: I20210115001764
Provider NameMatthew S Fogel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326652173
PECOS PAC ID: 2567861693
Enrollment ID: I20210524000060
Provider NameKatia Chavez
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740642891
PECOS PAC ID: 1759676406
Enrollment ID: I20210614001478
Provider NameDebra Rockey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477125797
PECOS PAC ID: 6608129739
Enrollment ID: I20210923000523
Provider NameHoward Kessler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477500775
PECOS PAC ID: 2769387620
Enrollment ID: I20211112000770
Provider NameAnastasiia Neelagaru
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114284445
PECOS PAC ID: 5496037608
Enrollment ID: I20220503002264
Provider NameAngela Marie Montoy-littlejohn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366180994
PECOS PAC ID: 5698155844
Enrollment ID: I20220705003025
Provider NameMelanie Jeanne Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780331546
PECOS PAC ID: 6002296035
Enrollment ID: I20220707002519
Provider NameChristine Marie Mayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891429783
PECOS PAC ID: 7214310911
Enrollment ID: I20220812001799
Provider NameLinda C Humphrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215094024
PECOS PAC ID: 7214939461
Enrollment ID: I20221115001337
Provider NameJordan David Wiggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811616659
PECOS PAC ID: 4183092646
Enrollment ID: I20221115001858
Provider NameSuresh B Neelagaru
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1205813920
PECOS PAC ID: 4284605437
Enrollment ID: I20230104000860
Provider NameShannon Elizabeth Zaffino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972005874
PECOS PAC ID: 9234567595
Enrollment ID: I20230218000355
Provider NameBo Romero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235855388
PECOS PAC ID: 6901279454
Enrollment ID: I20230302001892
Provider NameDonna Leonora Candelaria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720704026
PECOS PAC ID: 7517332216
Enrollment ID: I20230411002841
Provider NameGabriel Alejandro Carsillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700588795
PECOS PAC ID: 8527423664
Enrollment ID: I20230425002403
Provider NameTina Hemme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376899500
PECOS PAC ID: 8426205709
Enrollment ID: I20230511000481
Provider NameEmma Helen Argueta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194439943
PECOS PAC ID: 7810353992
Enrollment ID: I20230515003398
Provider NameAngel Manuel Vigo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316574296
PECOS PAC ID: 2668895913
Enrollment ID: I20230825002557
Provider NamePatrick Henke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023638053
PECOS PAC ID: 1658792767
Enrollment ID: I20230828002826
Provider NameLaura Ulibarri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518948868
PECOS PAC ID: 1850487190
Enrollment ID: I20240501001064
Provider NameKashmira Singh
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1194038182
PECOS PAC ID: 6002055241
Enrollment ID: I20240502003702

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.