Individual provider Active NPI

Benjamin Contessa, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1508304684
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2021-0043 Issued in NM
Practice address
1800 Unser Blvd NW Ste 500
Albuquerque, NM 87120-3936
Phone
(505) 205-1271
NPI assigned
Feb 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3220 TN
Physician Assistant 363A00000X PA2021-0043 HI
Physician Assistant 363A00000X AMD-847 HI
Physician Assistant 363A00000X PA2021-0043 NM Primary

Addresses

Primary practice location

1800 Unser Blvd NW Ste 500
Albuquerque, NM 87120-3936

Mailing address

2001 Gold Ave SE Unit B
Albuquerque, NM 87106-4199
Phone (865) 978-0427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190208001089 HI Practitioner - Physician Assistant 4183909138 Reassigns benefits to 3 organizations
I20210824001664 NM Practitioner - Physician Assistant 4183909138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3220TNMDEmergency Medicine Physician
PA2021-0043HIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Urgent Care, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1800 Unser Blvd NW
Ste 500
Albuquerque, NM 87120
Phone (505) 205-1271

Interoperability endpoints

  • Direct secure messaging: bcontessa469555@ahs.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1508304684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 GOLD AVE SE UNIT B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064199",
            "telephone_number": "865-978-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 UNSER BLVD NW STE 500",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203936",
            "telephone_number": "505-205-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTESSA",
        "first_name": "BENJAMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3220",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "PA2021-0043",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-847",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2021-0043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.