Organization Active NPI

Khatali Telemed Services

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
National Provider Identifier
1023635299
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
KHATALI TELEMED SERVICES
Practice address
620 Four Hills Rd SE
Albuquerque, NM 87123-4106
Phone
(505) 472-4311
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
David N Calkins, MD
Title
Owner
Phone
(480) 544-4077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

620 Four Hills Rd SE
Albuquerque, NM 87123-4106

Mailing address

620 Four Hills Rd SE
Albuquerque, NM 87123-4106
Phone (480) 544-4077

National Provider Directory

National Provider Directory

Locations

222 W 6th St
Ste 400
San Pedro, CA 90731
Phone (310) 221-0463

6800 Cypress
Romulus, MI 48174
Phone (480) 544-4077

500 Marquette Ave NW
Ste 120
Albuquerque, NM 87102
Phone (480) 544-4077

1 Civic Center Plz
El Paso, TX 79901
Phone (408) 317-8833

301 George Perry Blvd
El Paso, TX 79925
Phone (408) 317-8833

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1023635299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 FOUR HILLS RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234106",
            "telephone_number": "480-544-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 FOUR HILLS RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234106",
            "telephone_number": "505-472-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHATALI TELEMED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-544-4077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.