Active NPI
Juliana Bernadette Chavez, M.D.
- Family Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2013-0833
- Practice address
- 1401 William St SE
Albuquerque, NM 87102-4661 - Phone
- (505) 768-5450
- Fax
- (505) 842-1185
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Family Medicine Physician | 207Q00000X | MD2013-0833 | NM | Primary |
Addresses
Primary practice location
1401 William St SE
Albuquerque, NM 87102-4661
Mailing address
1401 William Street SE
Albuquerque, NM 87102
Phone (505) 768-5450
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140807001164 | NM | Practitioner - Family Practice | 0244457703 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Community Healthcare, Inc.
Practice addresses (Care Compare)
1401 William St SE
First Choice Community Healthcare Inc
Albuquerque, NM 87102-4661
Phone (505) 768-5450
2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400
7704 2ND St NW
First Choice Community Healthcare Inc
Albuquerque, NM 87107-6708
Phone (505) 890-1458
Hospital & facility affiliations
- Ambercare Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Community Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| First Choice Community Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
Locations
2001 Centro Familiar Blvd SW
#31116
Albuquerque, NM 87105
1401 William St SE
Albuquerque, NM 87102
Phone (505) 768-5450
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462
145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740
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.
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1902993132
Family Medicine, NM
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1205097490
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1073775326
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1447412796
-
- Federally Qualified Health Center (FQHC)
- Los Lunas, NM
- NPI 1649431834
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1699936880
-
- Federally Qualified Health Center (FQHC)
- Edgewood, NM
- NPI 1962663153
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belen, NM
- NPI 1336117621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275823783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 WILLIAM STREET SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-768-5450",
"fax_number": "505-842-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 WILLIAM ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871024661",
"telephone_number": "505-768-5450",
"fax_number": "505-842-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "JULIANA",
"middle_name": "BERNADETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2013-0833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.