Active NPI
John P Mahony, PA
- Physician Assistant
- Taos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2019-0019
- Practice address
- 330 Paseo del Pueblo Sur Ste C
Taos, NM 87571-5328 - Phone
- (575) 758-1414
- Fax
- (575) 758-1474
- NPI assigned
- Dec 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085001767 | IL | |
| Physician Assistant | 363A00000X | PA2019-0019 | NM | Primary |
Addresses
Primary practice location
330 Paseo del Pueblo Sur Ste C
Taos, NM 87571-5328
Mailing address
330 Paseo del Pueblo Sur Ste C
Taos, NM 87571-5328
Phone (575) 758-1414
Other practice location 1
1800 Unser Blvd NW Ste 500
Albuquerque, NM 87120-4353
Phone (505) 205-1271
Other practice location 2
5504 Menaul Blvd NE Ste F
Albuquerque, NM 87110-3184
Phone (505) 348-2868
Other practice location 3
8201 Golf Course Rd NW Ste A3
Albuquerque, NM 87120-5803
Phone (505) 800-7070
Other practice location 4
1630 Rio Rancho Blvd SE Ste 101
Rio Rancho, NM 87124-1587
Phone (505) 395-5520
Other practice location 5
9551 Paseo Del Norte NE Ste D-106
Albuquerque, NM 87122-2975
Phone (505) 800-7050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17576741 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
330 Paseo del Pueblo Sur
Suite C
Taos, NM 87571-5328
Phone (575) 758-1414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2019-0019 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- jmahony1339377@ahs.direct-ci.com
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1932911351
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1619300118
-
- Surgery Physician
- Gallup, NM
- NPI 1558829556
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Nowata, OK
- NPI 1891703716
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1497084396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 PASEO DEL PUEBLO SUR STE C",
"city": "TAOS",
"state": "NM",
"postal_code": "875715328",
"telephone_number": "575-758-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 PASEO DEL PUEBLO SUR STE C",
"city": "TAOS",
"state": "NM",
"postal_code": "875715328",
"telephone_number": "575-758-1414",
"fax_number": "575-758-1474"
}
],
"practiceLocations": [
{
"address_1": "1800 Unser Blvd NW Ste 500",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871204353",
"country_code": "US",
"telephone_number": "505-205-1271",
"fax_number": "505-205-1085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5504 Menaul Blvd NE Ste F",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871103184",
"country_code": "US",
"telephone_number": "505-348-2868",
"fax_number": "505-348-2867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 Golf Course Rd NW Ste A3",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871205803",
"country_code": "US",
"telephone_number": "505-800-7070",
"fax_number": "505-800-7075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 Rio Rancho Blvd SE Ste 101",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871241587",
"country_code": "US",
"telephone_number": "505-395-5520",
"fax_number": "505-395-5517",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9551 Paseo Del Norte NE Ste D-106",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871222975",
"country_code": "US",
"telephone_number": "505-800-7050",
"fax_number": "505-800-7051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHONY",
"first_name": "JOHN",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-24",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085001767",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2019-0019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17576741",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.