Active NPI
Lenora Michelle Mathes, MD
- Neurology Physician
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD2018-0449
- Practice address
- 2400 Unser Blvd SE Ste 08200
Rio Rancho, NM 87124-4740 - Phone
- (505) 823-8777
- NPI assigned
- Mar 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | MD2018-0449 | NM | |
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2013-0429 | NM | |
| Neurology Physician | 2084N0400X | MD2018-0449 | NM | Primary |
Addresses
Primary practice location
2400 Unser Blvd SE Ste 08200
Rio Rancho, NM 87124-4740
Mailing address
PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other practice location 1
Internal Medicine Msc10 5550
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6331
Other practice location 2
Internal Medicine Msc10 5550
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6331
Other names 1
- Miki Mathes
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Neurology | Current | Accepting new patients |
Locations
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
2400 Unser Blvd SE
Ste 8200
Rio Rancho, NM 87124
Phone (505) 253-6100
4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Neurology
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1013259076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 UNSER BLVD SE STE 08200",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244740",
"telephone_number": "505-823-8777"
}
],
"practiceLocations": [
{
"address_1": "Internal Medicine Msc10 5550",
"address_2": "1 University of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-6331",
"fax_number": "505-272-4628",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Internal Medicine Msc10 5550",
"address_2": "1 University of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-6331",
"fax_number": "505-272-4628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHES",
"first_name": "LENORA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-17",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NM",
"license": "MD2018-0449",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RS2013-0429",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NM",
"license": "MD2018-0449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKI",
"last_name": "MATHES",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.