NPIMap

Organization Active NPI

New Mexico Urgent Care Walk-in Clinic Juan Tabo LLC

Doing business as New Mexico Urgent Care- Juan Tabo

  • Urgent Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1508510199
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NEW MEXICO URGENT CARE WALK-IN CLINIC JUAN TABO LLC
Doing business as
New Mexico Urgent Care- Juan Tabo
Practice address
10820 Comanche Rd NE Ste a
Albuquerque, NM 87111-3983
Phone
(505) 508-4068
Fax
(505) 554-1817
NPI assigned
Feb 11, 2022
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Dr. Muhammad Naeem Ahmad, MDNPI 1184016073
Title
Medical Director
Phone
(734) 890-4627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

10820 Comanche Rd NE Ste a
Albuquerque, NM 87111-3983

Mailing address

10820 Comanche Rd NE Ste a
Albuquerque, NM 87111-3983
Phone (505) 508-4068

Other names 1

  • New Mexico Urgent Care- Juan Tabo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220506001883 NM Part B Supplier - Clinic/Group Practice 6901283258 Receives reassigned benefits from 16 practitioners
Practice locations: Albuquerque, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2249668New Mexico Urgent Care Walk-in Clinic-Juan Tabo10820 Comanche Rd NE Suite a, Albuquerque, NM 87111Certificate of waiverJan 20, 2028

National Provider Directory

National Provider Directory

Locations

10820 Comanche Rd NE
Ste A
Albuquerque, NM 87111
Phone (505) 296-0761

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1508510199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 COMANCHE RD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113983",
            "telephone_number": "505-508-4068",
            "fax_number": "505-554-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 COMANCHE RD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113983",
            "telephone_number": "505-508-4068",
            "fax_number": "505-554-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO URGENT CARE WALK-IN CLINIC JUAN TABO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "NAEEM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-890-4627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Mexico Urgent Care- Juan Tabo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.