Active NPI
Paul Allen Brittain, MD
- Hematology & Oncology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD2018-0545
- Practice address
- 715 Dr Martin Luther King Jr Ave NE Ste 102
Albuquerque, NM 87102 - Phone
- (505) 727-3040
- Fax
- (505) 727-9590
- NPI assigned
- Apr 5, 2012
- Last updated
- May 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Hematology & Oncology Physician | 207RH0003X | PENDING | NM | |
| Hematology & Oncology Physician | 207RH0003X | MD2018-0545 | NM | Primary |
Addresses
Primary practice location
715 Dr Martin Luther King Jr Ave NE Ste 102
Albuquerque, NM 87102
Mailing address
715 Dr Martin Luther King Jr Ave NE Ste 102
Albuquerque, NM 87102-3666
Phone (505) 727-3040
Other practice location 1
13001 E. 17th Place
University of Colorado Denver School of Medicine GME
Aurora, CO 80045
Phone (303) 724-6031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24158038 | Medicaid | NM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of New Mexico School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
715 Dr Martin Luther King Jr Ave NE
Suite 102
Albuquerque, NM 87102-3666
Phone (505) 727-3040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2018-0545 | NM | MD | Hematology & Oncology Physician |
| PENDING | NM | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Health System, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Lovelace Health System LLC | Current | Accepting new patients | |
| Lovelace Health System LLC | Hematology & Oncology | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
715 Martin Luther King Ave NE
Ste 102
Albuquerque, NM 87102
Phone (505) 727-3040
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
Interoperability endpoints
- pbrittain174777@ahs.direct-ci.com
Organizations & group practices 6
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.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Clinic/Center
- Santa Fe, NM
- NPI 1245798024
-
dba Lovelace Medical Center
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1275711178
Hematology & Oncology
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1164137964
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Westside Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1184980989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 DR MARTIN LUTHER KING JR AVE NE STE 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023666",
"telephone_number": "505-727-3040",
"fax_number": "505-727-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 DR MARTIN LUTHER KING JR AVE NE STE 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-727-3040",
"fax_number": "505-727-9590"
}
],
"practiceLocations": [
{
"address_1": "13001 E. 17th Place",
"address_2": "University of Colorado Denver School of Medicine GME",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "80045",
"country_code": "US",
"telephone_number": "303-724-6031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRITTAIN",
"first_name": "PAUL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "PENDING",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "MD2018-0545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24158038",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.