Active NPI
Michael O. Flanagan, M.D.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Albuquerque, NM
National Provider Identifier
1497756670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 85-176
- Practice address
- 4209 Montgomery Blvd NE
Albuquerque, NM 87109-1103 - Phone
- (505) 884-1700
- Fax
- (505) 884-0510
- NPI assigned
- Aug 10, 2005
- Last updated
- Jul 13, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 85-176 | NM | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | 85-176 | NM | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | 85-176 | NM | |
| Psychiatry Physician | 2084P0800X | 85-176 | NM | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 85-176 | NM |
Addresses
Primary practice location
4209 Montgomery Blvd NE
Albuquerque, NM 87109-1103
Mailing address
4209 Montgomery Blvd NE
Albuquerque, NM 87109-1103
Phone (505) 884-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F7519 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-176 | NM | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497756670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091103",
"telephone_number": "505-884-1700",
"fax_number": "505-884-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091103",
"telephone_number": "505-884-1700",
"fax_number": "505-884-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "MICHAEL",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NM",
"license": "85-176",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NM",
"license": "85-176",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "NM",
"license": "85-176",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "85-176",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "NM",
"license": "85-176",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F7519",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.