Individual provider Active NPI

Paul Whitehouse, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Albuquerque, NM
National Provider Identifier
1063948123
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD435 Issued in NM
Practice address
8080 Academy Rd NE
Albuquerque, NM 87111-1111
Phone
(505) 247-4164
Fax
(505) 247-4561
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD435 NM Primary

Addresses

Primary practice location

8080 Academy Rd NE
Albuquerque, NM 87111-1111

Mailing address

13627 Keesha Jo Ave SE
Albuquerque, NM 87123-1095
Phone (813) 451-8690

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521000306 NM Practitioner - Podiatry 3577994847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Associated PodiatristsGroup PAC ID 7012072176, 8 clinicians

Practice addresses (Care Compare)

8080 Academy Rd NE
Suite C
Albuquerque, NM 87111-1110
Phone (505) 247-4164

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
93.7
Improvement activities
40
Cost
77.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of skin lesions1-10
Removal of nail tissue32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Associated Podiatrists Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients

Locations

8080 Academy Rd NE
Ste C
Albuquerque, NM 87111
Phone (505) 247-4164

Interoperability endpoints

  • Direct secure messaging: pwhitehouse709053@ahs.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1063948123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13627 KEESHA JO AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231095",
            "telephone_number": "813-451-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 ACADEMY RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111111",
            "telephone_number": "505-247-4164",
            "fax_number": "505-247-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHOUSE",
        "first_name": "PAUL",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.