Active NPI
Thomas Gladson Grace, M.D.
- Specialist
- Albuquerque, NM
National Provider Identifier
1376661371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- NM 77-38
- Practice address
- 8301 Spain Rd NE
Albuquerque, NM 87109-3166 - Phone
- (505) 821-6663
- Fax
- (505) 823-2683
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | NM 77-38 | NM | Primary |
Addresses
Primary practice location
8301 Spain Rd NE
Albuquerque, NM 87109-3166
Mailing address
8301 Spain Rd NE
Albuquerque, NM 87109-3166
Phone (505) 821-6663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00016071 | Medicaid | NM | |
| NM007588 | Other | NM | BC/BS OF 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
- Orthopedic Surgery
- Education
- Tulane University School of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8301 Spain Rd NE
Albuquerque, NM 87109-3166
Phone (505) 821-6663
Hospital & facility affiliations
- Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM 77-38 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academy Orthopaedic Clinic LLC | Specialist | Current | Accepting new patients |
Locations
8301 Spain Rd NE
Albuquerque, NM 87109
Phone (505) 821-6663
Organizations & group practices 1
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.
-
- Specialist
- Albuquerque, NM
- NPI 1336334127
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- 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": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1376661371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 SPAIN RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093166",
"telephone_number": "505-821-6663",
"fax_number": "505-823-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 SPAIN RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093166",
"telephone_number": "505-821-6663",
"fax_number": "505-823-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "THOMAS",
"middle_name": "GLADSON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "NM 77-38",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016071",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NM",
"identifier": "NM007588",
"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 Dec 10, 2007; 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.