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
- 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
222 S Mill Ave Ste 800
Tempe, AZ 85281-2899
Phone (888) 402-0202
Other practice location 2
4801 Lang Ave NE Ste 110
Albuquerque, NM 87109-4475
Phone (888) 402-0202
Other practice location 3
7521 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-0274
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.
-
- Primary Care Nurse Practitioner
- Tucson, 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": "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"
},
{
"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"
}
],
"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
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.