Individual provider Active NPI

Cindy M Matsushita, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1467540450
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2009-0498 Issued in NM
Practice address
3450 Zafarano Dr
Suite C
Santa Fe, NM 87507-2669
Phone
(505) 466-5885
Fax
(505) 466-5886
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25703 SC
Family Medicine Physician 207Q00000X MD2009-0498 NM Primary

Addresses

Primary practice location

3450 Zafarano Dr
Suite C
Santa Fe, NM 87507-2669

Mailing address

3450 Zafarano Dr
Suite C
Santa Fe, NM 87507-2669
Phone (505) 466-5885

Other names 1

  • Cindy M Matsushita Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130306000019 NM Practitioner - Family Practice 2062418783 Reassigns benefits to 1 organization
I20201020001453 TX Practitioner - Family Practice 2062418783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Fe Indian HospitalGroup PAC ID 7719883289, 19 clinicians

Practice addresses (Care Compare)

1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone (505) 946-9206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Medical Group LLC Family Medicine CurrentSince Mar 25, 2013 Accepting new patients
Santa Fe Indian Hospital CurrentSince Sep 24, 2020 Accepting new patients
Corazon Family Health PC Family Medicine PastSince Apr 1, 2013 Accepting new patients
Santa Fe Medical Group, LLC Past Accepting new patients
Truecare LLC Family Medicine PastSince Jan 1, 2016 Accepting new patients

Locations

400 State Road 30
Espanola, NM 87532
Phone (505) 753-8393

3450 Zafarano Dr
Unit C
Santa Fe, NM 87507
Phone (505) 466-5885

1700 Cerrillos Rd
Santa Fe, NM 87505
Phone (505) 946-9206

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1467540450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ZAFARANO DR",
            "address_2": "SUITE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072669",
            "telephone_number": "505-466-5885",
            "fax_number": "505-466-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ZAFARANO DR",
            "address_2": "SUITE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072669",
            "telephone_number": "505-466-5885",
            "fax_number": "505-466-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUSHITA",
        "first_name": "CINDY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "25703",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2009-0498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "MATSUSHITA",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.