Organization Active NPI

New Mexico Foot and Ankle Institute PC

  • Podiatrist
  • Albuquerque, NM
National Provider Identifier
1326570599
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NEW MEXICO FOOT AND ANKLE INSTITUTE PC
Practice address
10511 Golf Course Rd NW Ste 203
Albuquerque, NM 87114-5917
Phone
(505) 872-3333
Fax
(505) 880-1002
NPI assigned
Mar 28, 2017
Organization subpart
Yes
Parent organization
NEW MEXICO FOOT AND ANKLE INSTITUTE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Nathan D Ivey, DPM
Title
Owner
Phone
(505) 880-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

10511 Golf Course Rd NW Ste 203
Albuquerque, NM 87114-5917

Mailing address

4343 Pan American Fwy NE Ste 234
Albuquerque, NM 87107-6834
Phone (505) 880-1000

Other identifiers 2

IdentifierTypeStateIssuer
08571325MedicaidNM
4583990001OtherNMDMERC

National Provider Directory

National Provider Directory
Part of
New Mexico Foot Ankle

Locations

5111 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 271-9900

4343 Pan American Fwy NE
Ste 234
Albuquerque, NM 87107
Phone (505) 872-3333

10511 Golf Course Rd NW
Ste 203
Albuquerque, NM 87114
Phone (505) 232-1140

101 Hospital Loop NE
Ste 115
Albuquerque, NM 87109
Phone (505) 880-1000

612 N 13th St
Ste F
Artesia, NM 88210
Phone (505) 748-8310

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1326570599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 PAN AMERICAN FWY NE STE 234",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076834",
            "telephone_number": "505-880-1000",
            "fax_number": "505-880-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 203",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-872-3333",
            "fax_number": "505-880-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO FOOT AND ANKLE INSTITUTE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW MEXICO FOOT AND ANKLE INSTITUTE PC",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-880-1000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08571325",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4583990001",
            "state": "NM"
        }
    ],
    "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 May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.