Active NPI
Todd Lecesne, MPAS, PA-C
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1396750865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 97-PA03
- Practice address
- 3Rd Family Practice Ctr
2400 Tucker NE
Albuquerque, NM 87131-0001 - Phone
- (505) 272-8566
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 97-PA03 | NM | Primary |
Addresses
Primary practice location
3Rd Family Practice Ctr
2400 Tucker NE
Albuquerque, NM 87131-0001
Mailing address
2400 Tucker NE
Msc09 5040
Albuquerque, NM 87131-0001
Phone (505) 272-9828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97-PA03 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corazon Family Health PC | Family Medicine | Past | Accepting new patients |
| Santa Fe Medical Group, LLC | Past | Accepting new patients | |
| University Physician Associates | Past | Accepting new patients | |
| American Current Care, P.a. | Past | Accepting new patients | |
| Truecare LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- todd.lacesne.p13@direct.medcor.nextgenshare.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1295847747
-
- Primary Care Clinic/Center
- Santa Fe, NM
- NPI 1851401103
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1407227002
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1265468086
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1730360124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1396750865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 TUCKER NE",
"address_2": "MSC09 5040",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3RD FAMILY PRACTICE CTR",
"address_2": "2400 TUCKER NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECESNE",
"first_name": "TODD",
"credential": "MPAS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "97-PA03",
"primary": true
}
],
"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 Jan 11, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.