Active NPI
Frederick Fiber, MD
- Otolaryngology Physician
- Albuquerque, NM
National Provider Identifier
1508854258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 79-103
- Practice address
- 401 Edith Blvd NE
Albuquerque, NM 87102-2509 - Phone
- (505) 243-8030
- Fax
- (505) 842-1158
- NPI assigned
- Oct 6, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 79-103 | NM | Primary |
Addresses
Primary practice location
401 Edith Blvd NE
Albuquerque, NM 87102-2509
Mailing address
401 Edith Blvd NE
Albuquerque, NM 87102-2509
Phone (505) 243-8030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201003032 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| 22723 | Medicaid | NM | |
| NM011153 | Other | NM | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79-103 | NM | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCurley Hearing Design LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- Albuquerque, NM
- NPI 1043619356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1508854258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 EDITH BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022509",
"telephone_number": "505-243-8030",
"fax_number": "505-842-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 EDITH BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022509",
"telephone_number": "505-243-8030",
"fax_number": "505-842-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIBER",
"first_name": "FREDERICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "79-103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "201003032",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22723",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM011153",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}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 Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.