Edward N McKenzie, MD
Individual provider Active NPI Internal Medicine Physician · Edgewood, NM
NPI 1023102407 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1023102407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 20020343 (NM)
- Practice address
- 7 Municipal Way
Edgewood, NM 87015-7210 - Phone
- (505) 873-7400
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of New Mexico School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Community Healthcare, Inc.
Practice addresses (Care Compare)
2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400
8 Medical Ctr Rd
Edgewood, NM 87015-7086
Phone (505) 281-3406
Hospital & facility affiliations
- Ambercare Home Health
- Harmony Home Health Services, LLC
- Lovelace Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120227000116 | NM | Practitioner - Internal Medicine | 5597821769 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20020343 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Internal Medicine | Current |
Accepting new patients |
| First Choice Community Healthcare, Inc. | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Current |
Accepting new patients |
| First Choice Community Healthcare, Inc. | Current | Accepting new patients | |
| First Choice Community Healthcare, Inc. | Current |
Accepting new patients | |
| Artesia General Hospital | Current |
Accepting new patients | |
| Artesia General Hospital | Internal Medicine | Current |
Accepting new patients |
| Artesia General Hospital | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1100 Central Ave SE
Fl 4B
Albuquerque, NM 87106
Phone (505) 724-6124
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462
612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262
702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20020343 | NM | Yes |
Addresses
Primary practice location
7 Municipal Way
Edgewood, NM 87015-7210
Mailing address
PO Box 912678
Denver, CO 80291-2678
Phone (505) 873-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J1547 | Medicaid | NM |
Other providers in Edgewood, NM
- David Martin
- Cristal Martinez-Tena
- Brittany Renee McDaniel
- Molly J McEachen
- Suzanne McGinty
- Effie E Medford
- Harry Schnee Messec
- Jennifer Lee Mettling
- Sharon Louise Meyer
- Michael Lysonski DDS LLC
All providers in Edgewood, NM · Internal Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.