Active NPI
Christopher Philip Novak, M.D., M.P.H.
- Public Health & General Preventive Medicine Physician
- Santa Fe, NM
National Provider Identifier
1508834110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- MD2009-0030
- Practice address
- 605 Letrado St Ste D
Santa Fe, NM 87505-4146 - Phone
- (505) 476-2670
- Fax
- (505) 476-2694
- NPI assigned
- Mar 9, 2006
- Last updated
- Sep 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD2009-0030 | NM | Primary |
Addresses
Primary practice location
605 Letrado St Ste D
Santa Fe, NM 87505-4146
Mailing address
605 Letrado St Ste D
Santa Fe, NM 87505-4146
Phone (505) 476-2670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89387252 | 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 |
|---|---|---|---|
| MD2009-0030 | NM | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Department of Health | Past | Accepting new patients | |
| Department of Health, Public Health Division | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NM Department of Health Public Health Office
- Public Health or Welfare Agency
- Santa Fe, NM
- NPI 1699538983
-
dba Department of Health Immunization
- Public Health or Welfare Agency
- Santa Fe, NM
- NPI 1578609459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1508834110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 LETRADO ST STE D",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054146",
"telephone_number": "505-476-2670",
"fax_number": "505-476-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 LETRADO ST STE D",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054146",
"telephone_number": "505-476-2670",
"fax_number": "505-476-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "CHRISTOPHER",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NM",
"license": "MD2009-0030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89387252",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.