NPIMap

Organization Active NPI

St. Vincent Hospital

Doing business as Santa Fe Pulmonary and Critical Care

  • Internal Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1275724510
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST. VINCENT HOSPITAL
Doing business as
Santa Fe Pulmonary and Critical Care
Practice address
465 Saint Michaels Dr
Suite 211
Santa Fe, NM 87505-7670
Phone
(505) 984-2600
NPI assigned
Aug 1, 2007
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. VINCENT HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
J Alex Valdez, JD
Title
President and Ceo
Phone
(505) 820-5202

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Pulmonary Disease Physician 207RP1001X NU

Addresses

Primary practice location

465 Saint Michaels Dr
Suite 211
Santa Fe, NM 87505-7670

Mailing address

455 Saint Michaels Dr
Medical Staff Office
Santa Fe, NM 87505-7601
Phone (505) 984-2600

Other identifiers 1

IdentifierTypeStateIssuer
40124525MedicaidNM

Other names 1

  • Santa Fe Pulmonary and Critical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000372 NM Part B Supplier - Clinic/Group Practice 6608775135 Receives reassigned benefits from 425 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Santa Fe, NM; Los Alamos, NM; Albuquerque, NM; Espanola, NM; Farmington, NM; Las Vegas, NM
O20210409001788 CA Part B Supplier - Clinic/Group Practice 6608775135 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; San Jose, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Santa Fe Med Lab

Locations

465 Saint Michaels Dr
Ste 211
Santa Fe, NM 87505
Phone (505) 984-2600

5501 Herrera Dr
#B
Santa Fe, NM 87507
Phone (505) 913-4180

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1275724510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-984-2600",
            "fax_number": "505-983-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR",
            "address_2": "SUITE 211",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057670",
            "telephone_number": "505-984-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT HOSPITAL",
        "enumeration_date": "2007-08-01",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "505-820-5202",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40124525",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Pulmonary and Critical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.

Verify at the official NPI Registry.