NPIMap

Organization Active NPI

McLeod Medical Centers of NM, Inc.

Doing business as Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
National Provider Identifier
1215580832
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCLEOD MEDICAL CENTERS OF NM, INC.
Doing business as
Duke City Primary Care
Practice address
12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9557
Phone
(505) 281-5180
Fax
(505) 281-5320
NPI assigned
Jul 23, 2019
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD MEDICAL CENTERS OF NM, INC. DBA DUKE CITY PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Christina G. Lopez-Marrufo
Title
Contracts/Credentialing Specialist
Phone
(505) 916-6544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9557

Mailing address

12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9557
Phone (505) 281-5180

Other practice location 1

1108 W US Route 66
Moriarty, NM 87035-1006
Phone (505) 832-4434

Other practice location 2

1851 Old US 66
Edgewood, NM 87015-7200
Phone (505) 286-2396

Other practice location 3

1202 Main St NE
Los Lunas, NM 87031-7409
Phone (505) 565-0070

Other practice location 4

11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796
Phone (505) 814-1333

Other practice location 5

7200 Montgomery Blvd NE Ste 7121
Albuquerque, NM 87109-1510
Phone (505) 872-0216

Other practice location 6

4410 Irving Blvd NW
Albuquerque, NM 87114-5951
Phone (505) 768-6123

Other practice location 7

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112-3303
Phone (505) 407-2163

Other practice location 8

11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660
Phone (505) 814-1333

Other practice location 9

1044 Main St NE
Los Lunas, NM 87031-7401
Phone (505) 814-1333

Other practice location 10

3121 Carlisle Blvd NE
Albuquerque, NM 87110-1654
Phone (505) 228-2108

Other names 1

  • Duke City Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180201001863 NM Part B Supplier - Clinic/Group Practice 5092075531 Receives reassigned benefits from 81 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albuquerque, NM; Moriarty, NM; Los Lunas, NM; Gallup, NM; Edgewood, NM; Cedar Crest, NM

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
McLeod Med CTRS of NM Inc

Locations

7200 Montgomery Blvd NE
Ste 7121
Albuquerque, NM 87109
Phone (408) 781-0505

517 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 326-2255

Practitioners & affiliated clinicians

Practitioners 88

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.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1215580832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127B HWY 14 N STE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089557",
            "telephone_number": "505-281-5180",
            "fax_number": "505-281-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12127B HWY 14 N STE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089557",
            "telephone_number": "505-281-5180",
            "fax_number": "505-281-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 W US Route 66",
            "address_purpose": "LOCATION",
            "city": "Moriarty",
            "state": "NM",
            "postal_code": "870351006",
            "country_code": "US",
            "telephone_number": "505-832-4434",
            "fax_number": "505-832-5024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1851 Old US 66",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "NM",
            "postal_code": "870157200",
            "country_code": "US",
            "telephone_number": "505-286-2396",
            "fax_number": "505-286-2398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Main St NE",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317409",
            "country_code": "US",
            "telephone_number": "505-565-0070",
            "fax_number": "505-565-0978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11501 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112796",
            "country_code": "US",
            "telephone_number": "505-814-1333",
            "fax_number": "505-990-3437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Montgomery Blvd NE Ste 7121",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091510",
            "country_code": "US",
            "telephone_number": "505-872-0216",
            "fax_number": "505-872-0635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 Irving Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871145951",
            "country_code": "US",
            "telephone_number": "505-768-6123",
            "fax_number": "505-897-5023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Juan Tabo Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871123303",
            "country_code": "US",
            "telephone_number": "505-407-2163",
            "fax_number": "505-407-2125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11601 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112660",
            "country_code": "US",
            "telephone_number": "505-814-1333",
            "fax_number": "505-990-3437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1044 Main St NE",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317401",
            "country_code": "US",
            "telephone_number": "505-814-1333",
            "fax_number": "505-990-3437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3121 Carlisle Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871101654",
            "country_code": "US",
            "telephone_number": "505-228-2108",
            "fax_number": "505-205-1514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLEOD MEDICAL CENTERS OF NM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD MEDICAL CENTERS OF NM, INC. DBA DUKE CITY PRIMARY CARE",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-MARRUFO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CONTRACTS/CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "505-916-6544"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke City Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke City Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Crest, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.