Individual provider Active NPI

Megan Susanne Sofka

  • Neuromusculoskeletal Medicine & OMM Physician
  • Albuquerque, NM
National Provider Identifier
1083233357
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO2023-0413 Issued in NM
Practice address
1208 Princeton Dr SE
Albuquerque, NM 87106-3019
Phone
(505) 346-7656
Fax
(505) 485-0560
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO2023-0413 NM Primary

Addresses

Primary practice location

1208 Princeton Dr SE
Albuquerque, NM 87106-3019

Mailing address

4421 Superstition Dr
Las Cruces, NM 88011-7514
Phone (505) 306-7437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 19, 2023 through May 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO2023-0413NMMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sky Osteopathy Neuromusculoskeletal Medicine & Omm CurrentSince May 19, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1083233357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 SUPERSTITION DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117514",
            "telephone_number": "505-306-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 PRINCETON DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063019",
            "telephone_number": "505-346-7656",
            "fax_number": "505-485-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFKA",
        "first_name": "MEGAN",
        "middle_name": "SUSANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NM",
            "license": "DO2023-0413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.