Individual provider Active NPI

Daniel L. Stulberg, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1013022995
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NM2007-0112 Issued in NM
Practice address
5120 Masthead St NE
Albuquerque, NM 87109-4366
Phone
(505) 243-7546
Fax
(505) 243-7547
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NM2007-0112 NM Primary
Family Medicine Physician 207Q00000X 4301051647 MI
Family Medicine Physician 207Q00000X 42532 CO

Addresses

Primary practice location

5120 Masthead St NE
Albuquerque, NM 87109-4366

Mailing address

5120 Masthead St NE
Albuquerque, NM 87109-4366
Phone (505) 243-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070705000564 NM Practitioner - Family PracticePractitioner - Dermatology 2668456351 Reassigns benefits to 2 organizations
I20221013000294 MI Practitioner - Family Practice 2668456351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Dermatology
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Cancer Center of NM PCGroup PAC ID 9234238775, 8 clinicians

Practice addresses (Care Compare)

5120 Masthead St NE
Albuquerque, NM 87109-4366
Phone (505) 243-7546

Merit-based Incentive Payment System (MIPS)

Final score
97.1 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions82
Removal or shaving of skin growth1-10
Skin biopsy42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42532COMDFamily Medicine Physician
NM2007-0112NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Jul 1, 2007 Accepting new patients
Dermatology & Skin Cancer Center of NM PC Dermatology CurrentSince Jan 1, 2026 Accepting new patients
Grace Health, Inc. CurrentSince Nov 21, 2022 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 1, 2007 Accepting new patients
Western Michigan University School of Medicine CurrentSince Oct 1, 2022 Accepting new patients
Grace Health, Inc. CurrentSince Nov 21, 2022 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients

Locations

181 Emmett St W
Battle Creek, MI 49037
Phone (269) 965-8866

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

555 W Crosstown Pkwy
Ste 200
Kalamazoo, MI 49008
Phone (269) 337-6500

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

5120 Masthead St NE
Albuquerque, NM 87109
Phone (505) 243-7546

5120 Masthead St NE
Ste 410
Albuquerque, NM 87109

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: daniel.stulberg.p1@direct.gracehealthmi.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/547b0eb5-cfa9-4b3c-9b40-22fe9b0420af/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1013022995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094366",
            "telephone_number": "505-243-7546",
            "fax_number": "505-243-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094366",
            "telephone_number": "505-243-7546",
            "fax_number": "505-243-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULBERG",
        "first_name": "DANIEL",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "NM2007-0112",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301051647",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "42532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.