Individual provider Active NPI

Alfred A Lovato Jr., MD

  • Ophthalmology Physician
  • Albuquerque, NM
National Provider Identifier
1548226277
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
86-271 Issued in NM
Practice address
4333 Pan American Fwy NE
Suite B
Albuquerque, NM 87107-6831
Phone
(505) 247-1073
Fax
(505) 247-2153
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 86-271 NM Primary

Addresses

Primary practice location

4333 Pan American Fwy NE
Suite B
Albuquerque, NM 87107-6831

Mailing address

5700 San Antonio Dr NE
Ste B4
Albuquerque, NM 87109-4179
Phone (505) 247-1073

Other identifiers 2

IdentifierTypeStateIssuer
F8265MedicaidNM
L1409MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000657 NM Practitioner - Ophthalmology 5597652099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of New Mexico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5700 San Antonio Dr NE
Suite B4
Albuquerque, NM 87109-4179
Phone (505) 247-1073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86-271NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute of Albuquerque, PC Ophthalmology CurrentSince Feb 15, 2001 Accepting new patients
Lovato Eyeware, LLC PastSince Nov 27, 2000 Accepting new patients

Locations

4333 Pan American Fwy NE
Ste B
Albuquerque, NM 87107
Phone (505) 247-1073

5700 San Antonio Dr NE
Ste B4
Albuquerque, NM 87109
Phone (505) 247-1073

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1548226277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SAN ANTONIO DR NE",
            "address_2": "STE B4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094179",
            "telephone_number": "505-247-1073",
            "fax_number": "505-247-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 PAN AMERICAN FWY NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076831",
            "telephone_number": "505-247-1073",
            "fax_number": "505-247-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVATO",
        "first_name": "ALFRED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "86-271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F8265",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L1409",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.