Desiree Barela
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1023318409 · NPPES record last updated Mar 22, 2017
Key facts
- NPI
- 1023318409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2010-0050 (NM)
- Practice address
- 2211 Lomas Blvd NE
Second Floor
Albuquerque, NM 87106-2719 - Phone
- (505) 272-2336
- NPI assigned
- Nov 1, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NNM Gastroenterology Associates PA
Practice addresses (Care Compare)
1691 Galisteo St
Suite C
Santa Fe, NM 87505-4781
Phone (505) 983-5631
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
- Los Alamos Medical Center
- Holy Cross Hospital a Div of Taos Health Systems
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.11 of 100
- Quality
- 94.22
- Improvement activities
- 40
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110118001001 | NM | Practitioner - Physician Assistant | 3870782121 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2010-0050 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2010-0050 | NM | Yes |
Addresses
Primary practice location
2211 Lomas Blvd NE
Second Floor
Albuquerque, NM 87106-2719
Mailing address
933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374
Phone (505) 272-1320
Other providers in Albuquerque, NM
- Lissette Barela Munoz
- Bryannah Barela
- Darlene J Barela
- Denise Eschbaumer Barela
- Desarae Barela
- Eugene Barela
- Felecia Barela
- Gabriel Barela
- James Christopher Barela
- Jonathan James Barela
All providers in Albuquerque, NM · Physician Assistant 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 Mar 22, 2017. 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.