Individual provider Active NPI

Fenton McCarthy, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Albuquerque, NM
National Provider Identifier
1114245032
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD2018-0635 Issued in NM
Practice address
502 Elm St NE
Albuquerque, NM 87102
Phone
(505) 841-1000
Fax
(505) 843-2956
NPI assigned
May 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT197425 PA
Student in an Organized Health Care Education/Training Program 390200000X MT197425 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD2018-0635 NM Primary

Addresses

Primary practice location

502 Elm St NE
Albuquerque, NM 87102

Mailing address

502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000

Other practice location 1

3400 Spruce St
Philadelphia, PA 19104-4206
Phone (215) 662-6156

Other practice location 2

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-9831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240708003765 WA Practitioner - Cardiac Surgery 6002113487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Perelman School of Med at the University of Pennsylvania, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services-WaGroup PAC ID 7911069703, 25 clinicians
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

1100 Goethals Dr
Suite E
Richland, WA 99352-3301
Phone (509) 942-2986

2979 Squalicum Pkwy
Suite 201
Bellingham, WA 98225-1813
Phone (360) 788-6800

62 W 7TH Ave
Spokane, WA 99204-2321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Apr 7, 2025 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 1, 2019 Accepting new patients
Unm Medical Group, Inc. CurrentSince Nov 6, 2018 Accepting new patients
Providence Health & Services-Wa Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 29, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 1, 2019 Accepting new patients
Kadlec Regional Medical Center CurrentSince Apr 7, 2025 Accepting new patients
Unm Medical Group Inc CurrentSince Nov 6, 2018 Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

502 Elm St NE
Albuquerque, NM 87102

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

502 Elm St NE
Ste 400
Albuquerque, NM 87102

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

2979 Squalicum Pkwy
Ste 201
Bellingham, WA 98225
Phone (360) 756-6800

1100 Goethals Dr
Ste E
Richland, WA 99352
Phone (509) 942-3095

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

62 W 7th Ave
Ste 320
Spokane, WA 99204
Phone (509) 381-6505

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

62 W 7th Ave
Ste 110
Spokane, WA 99204
Phone (509) 462-6485

Interoperability endpoints

  • Direct secure messaging: fmccarthy178105@ahs.direct-ci.com

Organizations & group practices 8

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1114245032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044206",
            "country_code": "US",
            "telephone_number": "215-662-6156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Lomas Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871062719",
            "country_code": "US",
            "telephone_number": "505-272-9831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "FENTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT197425",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT197425",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "MD2018-0635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.