Individual provider Active NPI

Juliana Bernadette Chavez, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1275823783
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2013-0833 Issued in NM
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 51 clinicians

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 Home health agency, Belen, NM, CCN 327123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince Aug 29, 2014 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince Aug 29, 2014 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.