Active NPI
Michael E. Paikal, M.D.
- Clinical Cardiac Electrophysiology Physician
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD2019-1027
- Practice address
- 407 S Schwartz Ave Ste 202
Farmington, NM 87401-5925 - Phone
- (505) 609-6770
- NPI assigned
- Aug 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A107873 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | MD2019-1027 | NM | |
| Hospitalist Physician | 208M00000X | A107873 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD2019-1027 | NM | Primary |
Addresses
Primary practice location
407 S Schwartz Ave Ste 202
Farmington, NM 87401-5925
Mailing address
407 S Schwartz Ave Ste 202
Farmington, NM 87401-5925
Phone (505) 609-6770
Other practice location 1
502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107873 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Cardiovascular Disease | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Providence Medical Institute | Internal Medicine | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
502 Elm St NE
Albuquerque, NM 87102
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
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.
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Cardiovascular Disease Physician
- Farmington, NM
- NPI 1033327770
-
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1508058371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S SCHWARTZ AVE STE 202",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015925",
"telephone_number": "505-609-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S SCHWARTZ AVE STE 202",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015925",
"telephone_number": "505-609-6770"
}
],
"practiceLocations": [
{
"address_1": "502 Elm St NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871022512",
"country_code": "US",
"telephone_number": "505-841-1000",
"fax_number": "505-727-9590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAIKAL",
"first_name": "MICHAEL",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A107873",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NM",
"license": "MD2019-1027",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A107873",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NM",
"license": "MD2019-1027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.