Gerry Situ, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4410 Irving Blvd NW
Albuquerque, NM 87114-5951

Phone

(505) 281-5180

Fax

(505) 702-8171

NPI assigned

Feb 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gerry.situ.1@27050.direct.athenahealth.com

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.

• McLeod Medical Centers of NM, Inc.

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782
  Medicare reassignment Care Compare group
• McLeod Medical Centers of NM, Inc.

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1215580832
  NPD

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1285227272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127B HWY 14 N",
            "address_2": "STE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089557",
            "telephone_number": "505-286-2396",
            "fax_number": "505-286-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 IRVING BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145951",
            "telephone_number": "505-281-5180",
            "fax_number": "505-702-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITU",
        "first_name": "GERRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2021-0077",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Sisneros
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• Alexandria Elaine Sisson
• Kevin Robert Sitko, M.D.
• Kit Sitterley, DO
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• Michael Charles Sjoquist, MD
• Danen Sjostrom, DDS, PHD
• SJT Pediatric Dentistry LLC
• Anthony Skaff

• Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.

Verify at the official NPI Registry.