Individual provider Active NPI

Abhishek Tomar, MBBS, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1255979282
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101278346 Issued in VA
Practice address
MSC 116093 1 University of New Mexico
Albuquerque, NM 87131-7601
Phone
(505) 272-8333
NPI assigned
Dec 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0101278346 VA Primary

Addresses

Primary practice location

MSC 116093 1 University of New Mexico
Albuquerque, NM 87131-7601

Mailing address

MSC 116093 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-8333

Other practice location 1

3840 Montana Verde Rd
Santa Fe, NM 87507-2652
Phone (804) 892-8474

Other practice location 2

2025 Galisteo St
Santa Fe, NM 87505-2101
Phone (505) 913-3450

Other practice location 3

10928 Brunson Way
Glen Allen, VA 23060-6484
Phone (804) 892-8474

Other practice location 4

125 Hospital Center Blvd Ste 110
Stafford, VA 22554-6202
Phone (540) 602-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240112000239 VA Practitioner - Family Practice 3870913080 Reassigns benefits to 1 organization
I20250627003876 DC Practitioner - Family Practice 3870913080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 Hospital Ctr Blvd
Stafford, VA 22554-6202
Phone (540) 602-6500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Aug 21, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince May 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine CurrentSince Aug 21, 2023 Accepting new patients

Locations

4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

125 Hospital Center Blvd
Ste 110
Stafford, VA 22554
Phone (540) 602-6300

125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500

14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1255979282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 116093 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC 116093 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871317601",
            "telephone_number": "505-272-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Montana Verde Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875072652",
            "country_code": "US",
            "telephone_number": "804-892-8474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Galisteo St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875052101",
            "country_code": "US",
            "telephone_number": "505-913-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10928 Brunson Way",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230606484",
            "country_code": "US",
            "telephone_number": "804-892-8474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Hospital Center Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225546202",
            "country_code": "US",
            "telephone_number": "540-602-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMAR",
        "first_name": "ABHISHEK",
        "credential": "MBBS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101278346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2025 Galisteo St",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875052101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.