Organization Active NPI

Healthnm, LLC

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1053952473
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHNM, LLC
Practice address
701 Osuna Rd NE Ste 600
Albuquerque, NM 87113-0009
Phone
(505) 404-0295
Fax
(505) 521-5157
NPI assigned
Oct 7, 2019
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Dr. Lilia Margarita Pedrego, MDNPI 1770895054
Title
Physician/Founder/Ceo
Phone
(505) 453-4590

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

701 Osuna Rd NE Ste 600
Albuquerque, NM 87113-0009

Mailing address

701 Osuna Rd NE Ste 600
Albuquerque, NM 87113-0009
Phone (505) 404-0295

Other identifiers 1

IdentifierTypeStateIssuer
99131013MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210426001311 NM Part B Supplier - Clinic/Group Practice 8820406150 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

700 Osuna Rd NE
Ste 600
Albuquerque, NM 87113

701 Osuna Rd NE
Ste 600
Albuquerque, NM 87113
Phone (505) 404-0295

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1053952473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSUNA RD NE STE 600",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871130009",
            "telephone_number": "505-404-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSUNA RD NE STE 600",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871130009",
            "telephone_number": "505-404-0295",
            "fax_number": "505-521-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "PEDREGO",
        "authorized_official_first_name": "LILIA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "PHYSICIAN/FOUNDER/CEO",
        "authorized_official_telephone_number": "505-453-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99131013",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant EMR and patient portal",
            "address_1": "3612 Plano Vista Rd NE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871244182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.