Individual provider Active NPI

Cheri A Blacksten, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1124254586
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2013-0554 Issued in NM
Practice address
8202 Louisiana Blvd NE
Suite a
Albuquerque, NM 87113-2103
Phone
(505) 554-2409
Fax
(505) 554-2876
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 27076 OK
Family Medicine Physician 207Q00000X MD2013-0554 NM Primary

Addresses

Primary practice location

8202 Louisiana Blvd NE
Suite a
Albuquerque, NM 87113-2103

Mailing address

PO Box 10777
Albuquerque, NM 87184-0777
Phone (505) 554-2409

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418000113 NM Practitioner - Family Practice 4486952967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8202 Louisiana Blvd NE
Suite a
Albuquerque, NM 87113-2103
Phone (505) 554-2409

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27076OKMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northview Family Physicians, PC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

8202 Louisiana Blvd NE
Ste A
Albuquerque, NM 87113
Phone (505) 554-2409

Organizations & group practices 2

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 3

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1124254586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10777",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871840777",
            "telephone_number": "505-554-2409",
            "fax_number": "505-554-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 LOUISIANA BLVD NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132103",
            "telephone_number": "505-554-2409",
            "fax_number": "505-554-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTEN",
        "first_name": "CHERI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OK",
            "license": "27076",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2013-0554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.