Active NPI
Fen Sartorius, M.D.
- Family Medicine Physician
- Santa Fe, NM
National Provider Identifier
1023129012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 79-266
- Practice address
- 4001 Rodeo Rd
Santa Fe, NM 87507-4830 - Phone
- (505) 471-8994
- Fax
- (505) 473-1274
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 79-266 | NM | Primary |
Addresses
Primary practice location
4001 Rodeo Rd
Santa Fe, NM 87507-4830
Mailing address
4001 Rodeo Rd
Santa Fe, NM 87507-4830
Phone (505) 471-8994
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202014953 | Other | PRESBYTERIAN HEALTH PLAN | |
| 10000283 | Other | LOVELACE | |
| 32821 | Medicaid | NM | |
| 1700291 | Other | UHC | |
| NM042528 | Other | NM | BCBS NM |
| QMYPR0071765 | Other | MOLINA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031119000867 | NM | Practitioner - Family Practice | 6204730500 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79-266 | NM | MD | Family Medicine Physician |
Networks
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO D-SNP
Interoperability endpoints
- fsartorius164687@christushealth.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1023129012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 RODEO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074830",
"telephone_number": "505-471-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 RODEO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074830",
"telephone_number": "505-471-8994",
"fax_number": "505-473-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARTORIUS",
"first_name": "FEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "79-266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "202014953",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10000283",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32821",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1700291",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "NM042528",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "QMYPR0071765",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.