Individual provider Active NPI

Ana G Huaman, M.D.

  • Ophthalmology Physician
  • Albuquerque, NM
National Provider Identifier
1043370554
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
90-213 Issued in NM
Practice address
3901 Georgia St NE Ste G-2
Albuquerque, NM 87110-1359
Phone
(505) 266-8200
Fax
(505) 256-7565
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 90-213 NM Primary

Addresses

Primary practice location

3901 Georgia St NE Ste G-2
Albuquerque, NM 87110-1359

Mailing address

8100 Wyoming Blvd NE Ste M4
PMB 293
Albuquerque, NM 87113-1963
Phone (505) 266-8200

Other identifiers 5

IdentifierTypeStateIssuer
NM009M96OtherNMBLUE CROSS BLUE SHIELD
P00163555OtherNMRAILROAD MEDICARE
Q7363MedicaidNM
201055717OtherNMPRESBYTERIAN HEALTH PLAN
PROVP13283OtherNMMOLINA HEALTH CARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000160 NM Practitioner - Ophthalmology 7113911348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3901 Georgia St NE
Suite G 2
Albuquerque, NM 87110-1359
Phone (505) 266-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
90-213NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Retina PC Ophthalmology CurrentSince Feb 22, 2010 Accepting new patients
New Mexico Eye Clinic LL Past Accepting new patients
Eye Institute of Albuquerque, PC Ophthalmology PastSince May 1, 2001 Accepting new patients
Scott D Allen MD & Associates PC Ophthalmology PastSince Jul 12, 1995 Accepting new patients
Ana G Huaman MD LLC Ophthalmology PastSince Apr 12, 2004 Accepting new patients

Locations

8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105

3901 Georgia St NE
Ste G2
Albuquerque, NM 87110
Phone (505) 266-8200

Organizations & group practices 5

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1043370554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 WYOMING BLVD NE STE M4",
            "address_2": "PMB 293",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131963",
            "telephone_number": "505-266-8200",
            "fax_number": "505-256-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE STE G-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101359",
            "telephone_number": "505-266-8200",
            "fax_number": "505-256-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUAMAN",
        "first_name": "ANA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "90-213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM009M96",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00163555",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q7363",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201055717",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE",
            "identifier": "PROVP13283",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.