NPIMap

Individual provider Active NPI

Thomas William Longley, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1245597970
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2014-0860 Issued in NM
Practice address
4208 Central Ave SW
Albuquerque, NM 87105-1695
Phone
(505) 777-3001
Fax
(505) 808-4977
NPI assigned
Apr 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 MD2014-0860 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4208 Central Ave SW
Albuquerque, NM 87105-1695

Mailing address

PO Box 740018
Atlanta, GA 30374-0018
Phone (505) 777-3001

Other practice location 1

454 St. Michaels Drive
Santa Fe, NM 87505
Phone (505) 303-5067

Other identifiers 1

IdentifierTypeStateIssuer
31459820MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601001878 NM Practitioner - Family Practice 8921251091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of New Mexico LLCGroup PAC ID 4981001096, 26 clinicians

Practice addresses (Care Compare)

4208 Central Ave SW G
Oak Street Health Atrisco
Albuquerque, NM 87105-1695
Phone (505) 777-3001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2014-0860NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jul 1, 2015 Accepting new patients
Oak Street Health Physicians Group of New Mexico LLC Family Medicine CurrentSince Aug 12, 2022 Accepting new patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients

Locations

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

454 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 303-5000

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

Organizations & group practices 3

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 7

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1245597970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740018",
            "telephone_number": "505-777-3001",
            "fax_number": "505-808-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 CENTRAL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051695",
            "telephone_number": "505-777-3001",
            "fax_number": "505-808-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 St. Michaels Drive",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "87505",
            "country_code": "US",
            "telephone_number": "505-303-5067",
            "fax_number": "505-473-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGLEY",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2014-0860",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31459820",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.