Individual provider Active NPI

Jeremy Strange, DPM

  • Foot & Ankle Surgery Podiatrist
  • Albuquerque, NM
National Provider Identifier
1023256120
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
7414873-0501 Issued in UT
Practice address
5111 Juan Tabo Blvd NE
Albuquerque, NM 87111-2672
Phone
(505) 271-9900
Fax
(505) 271-0217
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 7414873-0501 UT Primary

Addresses

Primary practice location

5111 Juan Tabo Blvd NE
Albuquerque, NM 87111-2672

Mailing address

5111 Juan Tabo Blvd NE
Albuquerque, NM 87111-2672
Phone (505) 271-9900

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
I20220621000031 NM Practitioner - Podiatry 9830367689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of New Mexico PCGroup PAC ID 2860583374, 7 clinicians

Practice addresses (Care Compare)

5111 Juan Tabo Blvd NE
Albuquerque, NM 87111-2698
Phone (505) 271-9900

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue42
Removal of skin lesions1-10
Removal of nail tissue372
Removal or shaving of skin growth98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7414873-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of New Mexico PC Foot & Ankle Surgery CurrentSince Jul 5, 2022 Accepting new patients

Locations

5111 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 271-9900

4401 Coors Blvd SW
Ste A
Albuquerque, NM 87121
Phone (505) 271-9900

2220 Grande Blvd SE
Ste A
Rio Rancho, NM 87124
Phone (505) 892-9800

Interoperability endpoints

  • Direct secure messaging: jstrange@faason-nm.direct.office.nextgen.com
  • Direct secure messaging: nmo8626@yourcarecommunity.org
  • Direct secure messaging: jstrange827014@ahs.direct-ci.com

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 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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1023256120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112672",
            "telephone_number": "505-271-9900",
            "fax_number": "505-271-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112672",
            "telephone_number": "505-271-9900",
            "fax_number": "505-271-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANGE",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "7414873-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.