Individual provider Active NPI

Patric Yves Nassaux, M.D.

  • Adult Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1043380496
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
H8277 Issued in TX
Practice address
13214 Cedarbrook Ave NE
Albuquerque, NM 87111-3022
Phone
(505) 920-0473
Fax
(505) 920-0473
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X H8277 TX Primary

Addresses

Primary practice location

13214 Cedarbrook Ave NE
Albuquerque, NM 87111-3022

Mailing address

4501 Morris St NE
Apt. 178
Albuquerque, NM 87111-3790
Phone (505) 332-9748

Other identifiers 1

IdentifierTypeStateIssuer
H8277OtherTXLICENSE

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
I20130323000015 NM Order and Referring Only - General PracticePractitioner - General Practice 2668424565

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1043380496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MORRIS ST NE",
            "address_2": "APT. 178",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113790",
            "telephone_number": "505-332-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13214 CEDARBROOK AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113022",
            "telephone_number": "505-920-0473",
            "fax_number": "505-920-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAUX",
        "first_name": "PATRIC",
        "middle_name": "YVES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "H8277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "H8277",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.