Individual provider Active NPI

Neal Aj Nettesheim, MD

  • Emergency Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1083008676
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R8953 Issued in TX
Practice address
Msc11 6025
1 University of New Mexico
Albuquerque, NM 81731
Phone
(505) 272-5062
Fax
(505) 272-6503
NPI assigned
Mar 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D89810 MD
Emergency Medicine Physician 207P00000X 0101270998 VA
Emergency Medicine Physician 207P00000X MD2019-0208 NM
Emergency Medicine Physician 207P00000X R8953 TX Primary

Addresses

Primary practice location

Msc11 6025
1 University of New Mexico
Albuquerque, NM 81731

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476

Other practice location 1

3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (915) 832-2000

Other practice location 2

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-2997

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu
Direct Messaging Address SRMC@direct.health.unm.edu
Direct Messaging Address UNMMG@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190516000524 TX Practitioner - Emergency Medicine 1052617701 Reassigns benefits to 2 organizations
I20220126000396 NM Practitioner - Emergency Medicine 1052617701 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curry Emergency Group LLCGroup PAC ID 1759687064, 12 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

301 E Miel de Luna Ave
Tucumcari, NM 88401-3810
Phone (575) 461-7074

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074
  • Dr Dan C Trigg Memorial Hospital Hospital, Tucumcari, NM, CCN 321302

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
80.04
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D89810MDMDEmergency Medicine Physician
MD2019-0208NMMDEmergency Medicine Physician
R8953TXMDEmergency Medicine Physician
0101270998VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince Nov 6, 2023 Accepting new patients
Curry Emergency Group LLC Emergency Medicine CurrentSince Jun 18, 2023 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 22, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 22, 2019 Accepting new patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients
Unm Medical Group, Inc. CurrentSince Jul 22, 2022 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince May 10, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Michael a Rowley MD PA Past Accepting new patients

Locations

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

Interoperability endpoints

  • Direct secure messaging: nnettesheim212660@direct.phs.org
  • Direct secure messaging: nnettesheim574113@ahs.direct-ci.com

Organizations & group practices 11

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 4

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1083008676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRADBURY DR SE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064310",
            "telephone_number": "505-272-1476",
            "fax_number": "505-272-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC11 6025",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "81731",
            "telephone_number": "505-272-5062",
            "fax_number": "505-272-6503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 Joe Battle Blvd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382622",
            "country_code": "US",
            "telephone_number": "915-832-2000",
            "fax_number": "915-832-2048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9040 Fitzsimmons Dr",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984311000",
            "country_code": "US",
            "telephone_number": "253-968-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETTESHEIM",
        "first_name": "NEAL",
        "middle_name": "AJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D89810",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101270998",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2019-0208",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R8953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SRMC@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "3001 Broadmoor Blvd NE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871442100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMMG@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "800 Bradbury Dr SE Ste 116",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.