Individual provider Active NPI

Emily C Deaton, MD

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1255466967
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2005-0504 Issued in NM
Practice address
3301 La Mancha Dr NW
Albuquerque, NM 87104-3029
Phone
(505) 490-1704
Fax
(505) 433-4485
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2005-0504 NM Primary

Addresses

Primary practice location

3301 La Mancha Dr NW
Albuquerque, NM 87104-3029

Mailing address

3301 La Mancha Dr NW
Albuquerque, NM 87104-3029
Phone (505) 490-1704

Other identifiers 1

IdentifierTypeStateIssuer
60352078MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070515000216 NM Practitioner - Internal MedicinePractitioner - Hospitalist 2668579301 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Kentucky College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

Practice addresses (Care Compare)

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234

2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577

700 High St NE
Albuquerque, NM 87102-2565
Phone (502) 596-7358

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Jan 1, 2024 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince Aug 1, 2021 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jan 1, 2024 Accepting new patients
KND Development 59 LLC CurrentSince Jul 1, 2022 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Mar 4, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Jul 1, 2022 Accepting new patients
Sage Neuroscience Center Inc CurrentSince Oct 12, 2020 Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

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

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

7850 Jefferson St NE
Ste 300
Albuquerque, NM 87109
Phone (505) 884-1114

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

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

Interoperability endpoints

  • Direct secure messaging: edeaton45121@direct.phs.org

Organizations & group practices 7

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 2

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1255466967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LA MANCHA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043029",
            "telephone_number": "505-490-1704",
            "fax_number": "505-433-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LA MANCHA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043029",
            "telephone_number": "505-490-1704",
            "fax_number": "505-433-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATON",
        "first_name": "EMILY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2005-0504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60352078",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.