NPIMap

Individual provider Active NPI

Gustavo Abel Espino, MD

  • Nephrology Physician
  • Albuquerque, NM
National Provider Identifier
1518985191
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
98-49 Issued in NM
Practice address
4343 Pan American Fwy NE Ste 236
Albuquerque, NM 87107-6834
Phone
(505) 600-2511
Fax
(505) 300-4977
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 98-49 NM Primary

Addresses

Primary practice location

4343 Pan American Fwy NE Ste 236
Albuquerque, NM 87107-6834

Mailing address

4343 Pan American Fwy NE Ste 236
Albuquerque, NM 87107-6834
Phone (505) 600-2511

Other identifiers 1

IdentifierTypeStateIssuer
Z1106MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000366 NM Practitioner - NephrologyPractitioner - Internal Medicine 3274613369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Nephrology AssociatesGroup PAC ID 5496092504, 2 clinicians

Practice addresses (Care Compare)

4343 Pan American Fwy NE
Suite 236
Albuquerque, NM 87107-6834
Phone (505) 600-2513

601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000

700 High St NE
Kindred Hospital
Albuquerque, NM 87102-2565
Phone (866) 545-3633

Hospital & facility affiliations

  • USRC Albuquerque Home Dialysis facility, Albuquerque, NM, CCN 322563
  • 322523 North Albuquerque Dialysis Center (FMC) Dialysis facility, Albuquerque, NM, CCN 322523
  • 322504 Albuquerque Kidney Center (FMC) Dialysis facility, Albuquerque, NM, CCN 322504
  • 322509 Rio Rancho Dialysis (FMC) Dialysis facility, Rio Rancho, NM, CCN 322509
  • 322531 Central Albuquerque DIALYSIS CENTER (FMC) Dialysis facility, Albuquerque, NM, CCN 322531
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as group
Quality
66.98
Improvement activities
40
Cost
80.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-49NMMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Nephrology Associates Nephrology CurrentSince Jan 1, 2019 Accepting new patients

Locations

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

4333 Pan American Fwy NE
Ste C
Albuquerque, NM 87107
Phone (505) 262-7777

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

4343 Pan American Fwy NE
Ste 236
Albuquerque, NM 87107
Phone (505) 600-2511

Interoperability endpoints

  • Direct secure messaging: gustavo.espino@albneph.trimed.direct-ci.com
  • Direct secure messaging: gespino7858@ahs.direct-ci.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1518985191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 PAN AMERICAN FWY NE STE 236",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076834",
            "telephone_number": "505-600-2511",
            "fax_number": "505-300-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 PAN AMERICAN FWY NE STE 236",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076834",
            "telephone_number": "505-600-2511",
            "fax_number": "505-300-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINO",
        "first_name": "GUSTAVO",
        "middle_name": "ABEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "98-49",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z1106",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.