Active NPI
United Wound & Vascular Institute New Mexico
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1255199352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UNITED WOUND & VASCULAR INSTITUTE NEW MEXICO
- Practice address
- 100 Sun Ave NE Ste 650
Albuquerque, NM 87109-4670 - Phone
- (888) 402-0202
- Fax
- (888) 860-2960
- NPI assigned
- Mar 12, 2024
- Last updated
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Miller
- Title
- Director of RCM
- Phone
- (248) 331-7908
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
100 Sun Ave NE Ste 650
Albuquerque, NM 87109-4670
Mailing address
PO Box 5679
Carol Stream, IL 60197-5679
Phone (248) 607-0037
Other practice location 1
7521 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-0274
Phone (888) 402-0202
Other practice location 2
222 S Mill Ave Ste 800
Tempe, AZ 85281-2899
Phone (888) 402-0202
Other practice location 3
4801 Lang Ave NE Ste 110
Albuquerque, NM 87109-4475
Phone (888) 402-0202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, AZ, NV
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
7521 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Primary Care Nurse Practitioner
- Tempe, AZ
- NPI 1629737390
-
- Nurse Practitioner
- Kentwood, MI
- NPI 1164089108
-
- Surgery Physician
- Tucson, AZ
- NPI 1538350707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1255199352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5679",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601975679",
"telephone_number": "248-607-0037",
"fax_number": "734-462-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SUN AVE NE STE 650",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094670",
"telephone_number": "888-402-0202",
"fax_number": "888-860-2960"
}
],
"practiceLocations": [
{
"address_1": "7521 W Lake Mead Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280274",
"country_code": "US",
"telephone_number": "888-402-0202",
"fax_number": "888-860-2960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 S Mill Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852812899",
"country_code": "US",
"telephone_number": "888-402-0202",
"fax_number": "888-860-2960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 Lang Ave NE Ste 110",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871094475",
"country_code": "US",
"telephone_number": "888-402-0202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UNITED WOUND & VASCULAR INSTITUTE NEW MEXICO",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-12",
"last_updated": "2026-09-10",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "248-331-7908"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Albuquerque, NM
- United Supermarkets LLC (Albertsons Market Pharmacy #3917)
- United Supermarkets LLC (Albertsons Market Pharmacy #0922)
- United Supermarkets LLC (Albertsons Market Pharmacy #1915)
- United Supermarkets LLC (Albertsons Market Pharmacy #0924)
- United Supermarkets LLC (Albertsons Market Pharmacy #0937)
- Unity Community Center LLC
- Universal Care Home Health Agency, Inc.
- Universal Medical Equipment, Inc. (Precision Repair Newtork)
- University Hospital
- University Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.