Individual provider Active NPI

Dallas Peters, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1174100044
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2024-0397 Issued in NM
Practice address
2400 Tucker NE Msc09 5040
Albuquerque, NM 87131-2868
Phone
(505) 272-2165
NPI assigned
Mar 26, 2021
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2024-0397 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2400 Tucker NE Msc09 5040
Albuquerque, NM 87131-2868

Mailing address

Msc09 5040
1 Univeristy of New Mexico
Albuquerque, NM 87131-0001

Other practice location 1

145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841
Phone (505) 865-4618

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
I20240911000043 NM Practitioner - Family Practice 0749680494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unm Medical Group IncGroup PAC ID 4981795267, 1,052 clinicians

Practice addresses (Care Compare)

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2024-0397NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince Sep 12, 2024 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jul 3, 2024 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 3, 2024 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine Current Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince Sep 12, 2024 Accepting new patients
Unm Hospital Past Accepting new patients
Unm Medical Group Inc Past Accepting new patients

Locations

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740

145 Don Pasqual Rd NW
Bldg E
Los Lunas, NM 87031

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

Interoperability endpoints

  • Direct secure messaging: dpeters1334265@ahs.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1174100044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC09 5040",
            "address_2": "1 UNIVERISTY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 TUCKER NE MSC09 5040",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871312868",
            "telephone_number": "505-272-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Don Pasqual Rd NW",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870318841",
            "country_code": "US",
            "telephone_number": "505-865-4618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2024-0397",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.