Individual provider Active NPI

Mark D Erasmus, MD

  • Neurological Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1407879513
Registry record updated Jul 8, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Dec 18, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
79-29 Issued in NM
Practice address
500 Walter St NE Ste 401
Albuquerque, NM 87102
Phone
(505) 727-5910
Fax
(505) 727-5939
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 79-29 NM Primary

Addresses

Primary practice location

500 Walter St NE Ste 401
Albuquerque, NM 87102

Mailing address

4101 Indian School Rd NE Ste 110
Albuquerque, NM 87110-3991
Phone (505) 727-5910

Other practice location 1

PMG Cedar Neurosurgery
201 Cedar SE
Albuquerque, NM 87106
Phone (505) 563-6399

Other practice location 2

PMG Cedar Neurosurgery
201 Cedar SE
Albuquerque, NM 87106
Phone (505) 563-6399

Other identifiers 1

IdentifierTypeStateIssuer
35087218MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D. Erasmus, M.D., P.C. Neurological Surgery PastSince Jul 14, 2006 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1407879513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 INDIAN SCHOOL RD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103991",
            "telephone_number": "505-727-5910",
            "fax_number": "505-727-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 401",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-727-5910",
            "fax_number": "505-727-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PMG CEDAR NEUROSURGERY",
            "address_2": "201 Cedar SE",
            "address_purpose": "LOCATION",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "country_code": "US",
            "telephone_number": "505-563-6399",
            "fax_number": "505-563-6680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PMG CEDAR NEUROSURGERY",
            "address_2": "201 Cedar SE",
            "address_purpose": "LOCATION",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "country_code": "US",
            "telephone_number": "505-563-6399",
            "fax_number": "505-563-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERASMUS",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NM",
            "license": "79-29",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35087218",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.