Individual provider Active NPI

Hala Anne Marie Toubbeh, M.D.

  • Gastroenterology Physician
  • Albuquerque, NM
National Provider Identifier
1477513075
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
91-333 Issued in NM
Practice address
4705 Montgomery Blvd NE
Suite 102
Albuquerque, NM 87109-1226
Phone
(505) 727-7833
Fax
(505) 727-6944
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 91-333 NM Primary
Gastroenterology Physician 207RG0100X TL3127 WY

Addresses

Primary practice location

4705 Montgomery Blvd NE
Suite 102
Albuquerque, NM 87109-1226

Mailing address

4001 Indian School Rd NE
Suite 325
Albuquerque, NM 87110-3816
Phone (505) 727-5785

Other identifiers 2

IdentifierTypeStateIssuer
000E2256MedicaidNM
00612378DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, MT, UT4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20100218000320 NM Practitioner - GastroenterologyPractitioner - Internal Medicine 4486732880 Reassigns benefits to 1 organization
I20210113003141 TX Practitioner - Internal Medicine 4486732880 Reassigns benefits to 1 organization
I20210120001644 MT Practitioner - Gastroenterology 4486732880 Reassigns benefits to 1 organization
I20230428000925 UT Practitioner - Gastroenterology 4486732880 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91-333NMMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Jan 8, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Apr 1, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jan 8, 2021 Accepting new patients
Neuropsychological Services of New Mexico, LLC Past Accepting new patients
Aga Professional Services, LLC Gastroenterology PastSince Sep 1, 2015 Accepting new patients

Locations

3011 American Way
Missoula, MT 59808
Phone (406) 546-8745

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 6

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1477513075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 INDIAN SCHOOL RD NE",
            "address_2": "SUITE 325",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103816",
            "telephone_number": "505-727-5785",
            "fax_number": "505-727-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "SUITE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-727-7833",
            "fax_number": "505-727-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUBBEH",
        "first_name": "HALA",
        "middle_name": "ANNE MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "91-333",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WY",
            "license": "TL3127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E2256",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00612378D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.