Active NPI
Amanda J Story, M.D.
- Radiation Oncology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 89-310
- Practice address
- 4650 Jefferson LN NE
Albuquerque, NM 87109-2127 - Phone
- (505) 727-7900
- Fax
- (505) 727-7942
- NPI assigned
- Jun 15, 2005
- Last updated
- Sep 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 89-310 | NM | Primary |
Addresses
Primary practice location
4650 Jefferson LN NE
Albuquerque, NM 87109-2127
Mailing address
4650 Jefferson LN NE
Albuquerque, NM 87109-2127
Phone (505) 727-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920004601 | Other | NM | MEDICARE RAILROAD |
| 00017723 | Medicaid | NM |
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
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (505) 727-7800
4705 Montgomery Blvd NE
Suite 101
Albuquerque, NM 87109-1246
Phone (505) 727-6971
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Phone (505) 291-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Radiation Oncology | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients |
Locations
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
4650 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 727-7900
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140
301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000
Interoperability endpoints
- astory11288@ahs.direct-ci.com
- astory253334@direct.phs.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Radiation Oncology
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
dba Lincoln County Medical Center
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
-
dba Socorro General Hospital
- Critical Access Hospital
- Socorro, NM
- NPI 1790761138
-
dba Dr Dan C Trigg Memorial Hospital
- Critical Access Hospital
- Tucumcari, NM
- NPI 1962488304
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Santa Fe Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1730684853
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1346245594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 JEFFERSON LN NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092127",
"telephone_number": "505-727-7900",
"fax_number": "505-727-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 JEFFERSON LN NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092127",
"telephone_number": "505-727-7900",
"fax_number": "505-727-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "AMANDA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NM",
"license": "89-310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "920004601",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00017723",
"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 Sep 30, 2015; 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.