Individual provider Active NPI

Kristina N Sanchez, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1497717078
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2014-0808 Issued in NM
Practice address
4600B Montgomery Blvd NE
Ste 100
Albuquerque, NM 87109
Phone
(505) 924-5840
Fax
(505) 924-5841
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X MD2014-0808 NM
Phlebology Physician 202K00000X 43226 CO
Phlebology Physician 202K00000X P9455 TX
Family Medicine Physician 207Q00000X MD2014-0808 NM Primary

Addresses

Primary practice location

4600B Montgomery Blvd NE
Ste 100
Albuquerque, NM 87109

Mailing address

PO Box 91224
Albuquerque, NM 87199-1224
Phone (505) 924-5840

Other practice location 1

914 Pinehurst Rd SE
Rio Rancho, NM 87124-2219
Phone (505) 924-5840

Other identifiers 1

IdentifierTypeStateIssuer
12603775MedicaidCO

Other names 1

  • Kristina N Vandenbosch Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923001354 NM Practitioner - Family PracticePractitioner - Other (Physician)Practitioner - Peripheral Vascular Disease 2961459896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
University of New Mexico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4600 B Montgomery Blvd NE
Suite 100
Albuquerque, NM 87109-1218
Phone (505) 924-5858

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal745

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9455TXMDPhlebology Physician

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1497717078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91224",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871991224",
            "telephone_number": "505-924-5840",
            "fax_number": "505-924-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600B MONTGOMERY BLVD NE",
            "address_2": "STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-924-5840",
            "fax_number": "505-924-5841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 Pinehurst Rd SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871242219",
            "country_code": "US",
            "telephone_number": "505-924-5840",
            "fax_number": "505-924-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "KRISTINA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NM",
            "license": "MD2014-0808",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CO",
            "license": "43226",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TX",
            "license": "P9455",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2014-0808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12603775",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "VANDENBOSCH",
            "middle_name": "N",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.