NPIMap

Individual provider Active NPI

Edward N McKenzie, MD

  • Internal Medicine Physician
  • Edgewood, NM
National Provider Identifier
1023102407
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20020343 Issued in NM
Practice address
7 Municipal Way
Edgewood, NM 87015-7210
Phone
(505) 873-7400
NPI assigned
Oct 3, 2006
Last updated
May 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20020343 NM Primary

Addresses

Primary practice location

7 Municipal Way
Edgewood, NM 87015-7210

Mailing address

PO Box 912678
Denver, CO 80291-2678
Phone (505) 873-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000116 NM Practitioner - Internal Medicine 5597821769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20020343NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Sep 1, 2022 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Oct 1, 2002 Accepting new patients
Artesia General Hospital Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Oct 1, 2002 Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince Jan 27, 2025 Accepting new patients
First Choice Community Healthcare, Inc. Current Accepting new patients
First Choice Community Healthcare, Inc. Past Accepting new patients
Artesia General Hospital Past Accepting new patients
First Choice Community Healthcare, Inc. PastSince May 18, 2025 Accepting new patients

Locations

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

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

Organizations & group practices 10

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

Hospital & facility affiliations 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1023102407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912678",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802912678",
            "telephone_number": "505-873-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MUNICIPAL WAY",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870157210",
            "telephone_number": "505-873-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "EDWARD",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "20020343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, NM

Sources for this page

Verify at the official NPI Registry.