Individual provider Active NPI

Shama Pervaiz

  • Foot & Ankle Surgery Podiatrist
  • Albuquerque, NM
National Provider Identifier
1013651421
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD2024-0012 Issued in NM
Practice address
8300 Carmel Ave NE Ste 501
Albuquerque, NM 87122-3125
Phone
(505) 717-1274
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD2024-0012 NM Primary

Addresses

Primary practice location

8300 Carmel Ave NE Ste 501
Albuquerque, NM 87122-3125

Mailing address

8300 Carmel Ave NE Ste 501
Albuquerque, NM 87122-3125

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219000322 NM Practitioner - Podiatry 1052831286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Associated PodiatristsGroup PAC ID 7012072176, 8 clinicians

Practice addresses (Care Compare)

8080 Academy Rd NE
Suite C
Albuquerque, NM 87111-1110
Phone (505) 247-4164

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue52
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
POD2024-0012NMMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Associated Podiatrists Foot & Ankle Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

8080 Academy Rd NE
Ste C
Albuquerque, NM 87111
Phone (505) 247-4164

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGBIBA/Endpoint/DGBIBA

Organizations & group practices 1

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 2

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1013651421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-717-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "SHAMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD2024-0012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.