Individual provider Active NPI

Adolfo Vivian Sanchez, M.D.

  • Family Medicine Physician
  • Belen, NM
National Provider Identifier
1003117698
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2010-0579 Issued in NM
Practice address
703 South Christopher Road
Belen, NM 87002-2617
Phone
(505) 864-7781
Fax
(505) 864-3360
NPI assigned
Nov 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2010-0579 NM Primary

Addresses

Primary practice location

703 South Christopher Road
Belen, NM 87002-2617

Mailing address

703 South Christopher Road
Belen, NM 87002-2617
Phone (505) 864-7781

Other identifiers 2

IdentifierTypeStateIssuer
82959374MedicaidNM
NMAAA1394OtherNMMEDICARE INDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000637 NM Practitioner - Family Practice 3971784752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roland K Sanchez MD LLCGroup PAC ID 1052725009, 2 clinicians

Practice addresses (Care Compare)

703 S Christopher Rd
Belen, NM 87002-2617
Phone (505) 864-7781

Hospital & facility affiliations

  • Ambercare Home Health Home health agency, Belen, NM, CCN 327123
  • Harmony Home Health Services, LLC Home health agency, Albuquerque, NM, CCN 327187
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Socorro General Hospital Hospital, Socorro, NM, CCN 321301

Merit-based Incentive Payment System (MIPS)

Final score
24.1 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions34
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roland Kent Sanchez, MD Family Medicine Current Accepting new patients
Roland K Sanchez MD LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Advanced Medical Care P.a. Past Accepting new patients

Locations

703 Christopher Dr
Belen, NM 87002
Phone (505) 864-7781

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1003117698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 SOUTH CHRISTOPHER ROAD",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870022617",
            "telephone_number": "505-864-7781",
            "fax_number": "505-864-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 SOUTH CHRISTOPHER ROAD",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870022617",
            "telephone_number": "505-864-7781",
            "fax_number": "505-864-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ADOLFO",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-12",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2010-0579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82959374",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "NMAAA1394",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

Verify at the official NPI Registry.