NPIMap

Individual provider Active NPI

Patrick Gilligan

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1043638802
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD2020-0393 Issued in NM
Practice address
500 Walter St NE Ste 309
Albuquerque, NM 87102-2562
Phone
(505) 727-7380
Fax
(505) 727-9590
NPI assigned
Mar 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Orthopaedic Surgery Physician 207X00000X MD2020-0393 NM Primary

Addresses

Primary practice location

500 Walter St NE Ste 309
Albuquerque, NM 87102-2562

Mailing address

4101 Indian School Rd NE Ste 110
Albuquerque, NM 87110-3991
Phone (505) 727-7380

Other practice location 1

Msc 10 5600
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4107

Other identifiers 1

IdentifierTypeStateIssuer
14913165OtherNMCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813000575 NM Practitioner - Orthopedic Surgery 2062638869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of New Mexico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

4801 McMahon Blvd NW
Suite 110
Albuquerque, NM 87114-5090
Phone (505) 727-4440

Hospital & facility affiliations

  • La Vita Bella Home Health, LLC Home health agency, Rio Rancho, NM, CCN 327234
  • Ambercare Home Health Home health agency, Belen, NM, CCN 327123
  • Luna Vista Home Healthcare, LLC Home health agency, Albuquerque, NM, CCN 327224
  • At Home Healthcare Home health agency, Albuquerque, NM, CCN 327201
  • Klarus Home Care, LLC Home health agency, Albuquerque, NM, CCN 327213
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074
  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
  • Lovelace Unm Rehabilitation Hospital Inpatient rehabilitation facility, Albuquerque, NM, CCN 323028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement57
Knee replacement67
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2020-0393NMMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Oct 1, 2020 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Oct 1, 2020 Accepting new patients
Lovelace Health System LLC Past Accepting new patients

Locations

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

500 Walter St NE
Ste 309
Albuquerque, NM 87102
Phone (505) 404-9922

4801 McMahon Blvd NW
Ste 110
Albuquerque, NM 87114
Phone (505) 727-4500

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO C-SNP
  • CO HMO
  • CO HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: pgilligan321053@ahs.direct-ci.com

Organizations & group practices 3

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 9

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1043638802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 INDIAN SCHOOL RD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103991",
            "telephone_number": "505-727-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 309",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022562",
            "telephone_number": "505-727-7380",
            "fax_number": "505-727-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 10 5600",
            "address_2": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2020-0393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14913165",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.