Organization Active NPI

Miguel Pupiales MD PC

  • Interventional Pain Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1548474448
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
2000-92 Issued in NM
Legal business name
MIGUEL PUPIALES MD PC
Practice address
4163 Montgomery Blvd NE
Albuquerque, NM 87109-6742
Phone
(505) 344-7246
Fax
(505) 344-2666
NPI assigned
May 9, 2007
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Miguel Pupiales, MDNPI 1306876966
Title
Owner
Phone
(505) 350-8331

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 200-92 NM
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 2000-92 NM Primary

Addresses

Primary practice location

4163 Montgomery Blvd NE
Albuquerque, NM 87109-6742

Mailing address

PO Box 16680
Albuquerque, NM 87191-6680
Phone (505) 344-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070615000116 NM Part B Supplier - Clinic/Group Practice 2365541364 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20120928000076 NM DME Supplier - Physician - General Practice 2365541364 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

4824 McMahon Blvd NW
Albuquerque, NM 87114
Phone (505) 247-9700

630 Manzano St NE
Ste D
Albuquerque, NM 87110
Phone (505) 344-7246

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1548474448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16680",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871916680",
            "telephone_number": "505-344-7246",
            "fax_number": "505-344-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096742",
            "telephone_number": "505-344-7246",
            "fax_number": "505-344-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL PUPIALES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "PUPIALES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-350-8331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NM",
            "license": "200-92",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NM",
            "license": "2000-92",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.