Organization Active NPI

Axces Health LLC

  • Infectious Disease Physician
  • Santa Fe, NM
National Provider Identifier
1053077990
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
AXCES HEALTH LLC
Practice address
531 Harkle Rd Ste B
Santa Fe, NM 87505-4753
Phone
(505) 207-8078
Fax
(505) 207-8082
NPI assigned
Nov 15, 2021
Organization subpart
Yes
Parent organization
AXCES RESEARCH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Laurie BauerNPI 1700661055
Title
Senior Director of Operations
Phone
(505) 207-8078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

531 Harkle Rd Ste B
Santa Fe, NM 87505-4753

Mailing address

531 Harkle Rd Ste B
Santa Fe, NM 87505-4753
Phone (505) 207-8078

Other practice location 1

4223 Montgomery Blvd NE
Albuquerque, NM 87109-1103
Phone (505) 207-8078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240917001562 NM Part B Supplier - Clinic/Group Practice 1557802675 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM; Santa Fe, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2212639Axces Health531 Harkle Road, Santa Fe, NM 87505Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

4223 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 207-8078

4273 Montgomery Blvd NE
Ste K120E
Albuquerque, NM 87109
Phone (505) 207-8078

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1053077990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-207-8078",
            "fax_number": "505-207-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-207-8078",
            "fax_number": "505-207-8082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4223 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091103",
            "country_code": "US",
            "telephone_number": "505-207-8078",
            "fax_number": "505-207-8082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AXCES HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXCES RESEARCH GROUP LLC",
        "enumeration_date": "2021-11-15",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "505-207-8078"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.