Active NPI
Los Alamos Physician Practices LLC
- Hospitalist Physician
- Los Alamos, NM
National Provider Identifier
1508089913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- LOS ALAMOS PHYSICIAN PRACTICES LLC
- Practice address
- 3917 West Rd
Los Alamos, NM 87544-2275 - Phone
- (505) 753-9292
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Wiechart
- Title
- Ceo
- Phone
- (615) 276-6508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
3917 West Rd
Los Alamos, NM 87544-2275
Mailing address
3917 West Rd
Los Alamos, NM 87544-2275
Other names 1
- LOS ALAMOS HOSPITALIST GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061104000041 | NM | Part B Supplier - Clinic/Group Practice | 4587661541 |
Receives reassigned benefits from 43 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Alamos, NM; Espanola, NM |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Los Alamos, NM
- NPI 1750330510
O20061104000041
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508089913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 WEST RD",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 WEST RD",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442275",
"telephone_number": "505-753-9292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ALAMOS PHYSICIAN PRACTICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WIECHART",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-276-6508"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LOS ALAMOS HOSPITALIST GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Los Alamos, NM
- Los Alamos Family Eyecare, P.C.
- Los Alamos Family Practice P a
- Los Alamos Medical Care Clinic LTD
- Los Alamos NM Endoscopy ASC LLC
- Los Alamos Pediatric Clinic
- Los Alamos Physician Practices LLC
- Los Alamos Physician Practices LLC
- Los Alamos Physician Practices LLC
- Los Alamos Physician Practices, LLC
- Los Alamos Retired Senior Organization
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.