Optumcare New Mexico LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32D0685327 Issued in NM

Legal business name

OPTUMCARE NEW MEXICO LLC

Doing business as

DaVita Medical Group

Practice address

2901 Transport St SE
Albuquerque, NM 87106-4382

Phone

(505) 262-7000

Fax

(505) 262-7652

NPI assigned

Jul 11, 2006

Last updated

Mar 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Castillo

Title

Associate Director

Phone

(702) 480-2550

Specialties & licenses 1

Addresses

Other names 1

• DaVita Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NM, PA, MI, GA, AZ, WA, VA, CA, OK, FL, CO, TN, AL, NJ, OH, NY, IL, MA, MS, OR20 enrollments

Enrollment records 20

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ahs Oklahoma Physician Group, LLC

  dba Cushing Medical Specialist

  • Rural Health Clinic/Center
  • Cushing, OK
  • NPI 1922683051

  Member Of

  NPD member

Locations (25 of 26)

Practitioners 229

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.

• Denise E Aamodt, MD

  • Family Medicine Physician
  • Rio Rancho, NM
  • NPI 1336172998
  Medicare reassignment Care Compare group NPD
• Chidinma Anozie, MD

  • Family Medicine Physician
  • Rio Rancho, NM
  • NPI 1982851192
  Medicare reassignment Care Compare group NPD
• Melanie Jeanne Boone, NP-C

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1780331546
  Medicare reassignment Care Compare group NPD
• Patricia Carabajal, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1255366274
  Medicare reassignment Care Compare group NPD
• Katia Elizabeth Chavez, MD MPH

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1740642891
  Medicare reassignment Care Compare group NPD
• Holly Couture Murray, DO

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1639353402
  Medicare reassignment Care Compare group NPD
• Rozita Dayani, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1932706223
  Medicare reassignment Care Compare group NPD
• Catherine Ann Delaney, PA-C

  • Medical Physician Assistant
  • Los Lunas, NM
  • NPI 1689735466
  Medicare reassignment Care Compare group NPD
• Annmarie Foley, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1902221005
  Medicare reassignment Care Compare group NPD
• Nishiena Gandhi, M.D.

  • Neurology Physician
  • Albuquerque, NM
  • NPI 1669527438
  Medicare reassignment Care Compare group NPD
• Amanda Garcia, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1306644505

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Dennis Garcia, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1720051964
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1124053210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028",
            "telephone_number": "505-262-7000",
            "fax_number": "505-262-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 TRANSPORT ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064382",
            "telephone_number": "505-262-7000",
            "fax_number": "505-262-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMCARE NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "702-480-2550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "32D0685327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaVita Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DaVita Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optimum Counseling, LLC
• Option 1 Nutrition Solutions LLC
• Options Acupuncture
• Optum Behavioral Care of Ohio, Inc.
• Optumcare Endoscopy Center New Mexico, LLC (DaVita Medical Endoscopy)
• Optumcare New Mexico, LLC (DaVita Medical Group)
• Optumcare New Mexico, LLC (DaVita Medical Group)
• Optumcare New Mexico, LLC (DaVita Medical Group)
• Optumcare New Mexico, LLC (DaVita Medical Group)
• Optumcare New Mexico, LLC (New Mexico Center for Sleep Medicine)

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.