Active NPI
Jeffrey M Dorf, M.D.
- Pulmonary Disease Physician
- Albuquerque, NM
National Provider Identifier
1477571131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 20020026
- Practice address
- 4901 Lang Ave NE
Albuquerque, NM 87109-4495 - Phone
- (505) 842-8171
- Fax
- (505) 246-0684
- NPI assigned
- Jul 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20020026 | NM | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20020026 | NM | |
| Pulmonary Disease Physician | 207RP1001X | 20020026 | NM | Primary |
Addresses
Primary practice location
4901 Lang Ave NE
Albuquerque, NM 87109-4495
Mailing address
4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone (505) 842-8171
Other practice location 1
4273 Montgomery Blvd NE
Suite 200 East
Albuquerque, NM 87109-6748
Phone (505) 821-5992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N6316 | Medicaid | 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
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Oncology Hematology Consultants, LTD. | Current | Accepting new patients | |
| Optumcare New Mexico LLC | Past | Accepting new patients |
Locations
4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877
2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1124053210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1477571131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094397",
"telephone_number": "505-842-8171",
"fax_number": "505-246-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094495",
"telephone_number": "505-842-8171",
"fax_number": "505-246-0684"
}
],
"practiceLocations": [
{
"address_1": "4273 Montgomery Blvd NE",
"address_2": "Suite 200 East",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871096748",
"country_code": "US",
"telephone_number": "505-821-5992",
"fax_number": "505-821-6692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DORF",
"first_name": "JEFFREY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "20020026",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NM",
"license": "20020026",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NM",
"license": "20020026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N6316",
"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 Aug 5, 2021; 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.