Individual provider Active NPI

Andy Ngoc Ho, DPM

  • Podiatrist
  • Albuquerque, NM
National Provider Identifier
1023124203
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NM287 Issued in NM
Practice address
6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369
Phone
(505) 341-0070
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NM287 NM Primary

Addresses

Primary practice location

6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369

Mailing address

6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369
Phone (505) 881-1585

Other practice location 1

3900 Eubank Blvd NE
Ste 18
Albuq, NM 87111-3427
Phone (505) 881-1585

Other identifiers 3

IdentifierTypeStateIssuer
NM005491OtherBCBSNM
P00206089OtherRAIL ROAD
213E00000XMedicaidNM

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
I20041228000681 NM Practitioner - Podiatry 4587621883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6727 Academy Rd NE
Suite C
Albuquerque, NM 87109-3369
Phone (505) 881-1585

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue491
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
287NMMDPsychologist
NM287NMMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandia Health Institute PC Podiatrist CurrentSince Dec 1, 2004 Accepting new patients

Locations

3900 Eubank Blvd NE
Ste 18
Albuquerque, NM 87111
Phone (505) 433-4037

6727 Academy Rd NE
Ste C
Albuquerque, NM 87109
Phone (505) 292-1818

4200 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 514-2900

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1023124203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 ACADEMY RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093369",
            "telephone_number": "505-881-1585",
            "fax_number": "505-828-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 ACADEMY RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093369",
            "telephone_number": "505-341-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Eubank Blvd NE",
            "address_2": "Ste 18",
            "address_purpose": "LOCATION",
            "city": "Albuq",
            "state": "NM",
            "postal_code": "871113427",
            "country_code": "US",
            "telephone_number": "505-881-1585",
            "fax_number": "505-828-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "ANDY",
        "middle_name": "NGOC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "NM287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNM",
            "identifier": "NM005491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00206089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213E00000X",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.