NPIMap

Organization Active NPI

New Mexico Heart Institute, LLC

  • Cardiovascular Disease Physician
  • Albuquerque, NM
National Provider Identifier
1346242575
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NEW MEXICO HEART INSTITUTE, LLC
Practice address
502 Elm St. NE
Albuquerque, NM 87102
Phone
(505) 841-1000
Fax
(505) 843-2956
NPI assigned
Jun 1, 2005
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LOVELACE HEALTH SYSTEMS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Stephen Petrovich
Title
Evp, General Counsel
Phone
(615) 296-3594

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X FA0003020 NM
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X FA0003020 NM
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

502 Elm St. NE
Albuquerque, NM 87102

Mailing address

502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000

National Provider Directory

National Provider Directory
Part of
Lovelace Westside Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1011 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-0876

2539 Medical Dr
Alamogordo, NM 88310
Phone (505) 437-2924

1001 Coal Ave SE
Albuquerque, NM 87106
Phone (505) 841-1001

201 Cedar St SE
Ste 707
Albuquerque, NM 87106
Phone (505) 224-7800

2700 Farmington Ave
Bldg I-B
Farmington, NM 87401
Phone (505) 324-6322

2030 E Aztec Ave
Gallup, NM 87301
Phone (505) 863-2208

1651 Galisteo St
Ste 4
Santa Fe, NM 87505
Phone (505) 983-4177

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1346242575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ELM ST. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO HEART INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOVELACE HEALTH SYSTEMS LLC",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3594"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "FA0003020",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "FA0003020",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 24, 2019; 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.