Active NPI
Mario Migliore
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 75014
- Practice address
- 3911 4TH St NW
Albuquerque, NM 87107-2510 - Phone
- (505) 975-1304
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 9, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 75014 | NM | Primary |
Addresses
Primary practice location
3911 4TH St NW
Albuquerque, NM 87107-2510
Mailing address
1011 Matador Dr SE
Albuquerque, NM 87123-4222
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75014 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hippocare, Inc | Current | Accepting new patients | |
| Hippocare, Inc | Current | Accepting new patients | |
| Southwest Emergency Medical Associates of NM PC | Current | Accepting new patients | |
| Trophos Staffing Inc. | Current | Accepting new patients |
Locations
3911 4th St NW
Albuquerque, NM 87107
Phone (505) 345-3673
3911 4th St NW
#B
Albuquerque, NM 87107
Phone (505) 345-6801
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
900 W Ash St
Deming, NM 88030
Phone (505) 546-2761
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- mmigliore889954@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
-
dba Trophos Family medicine
- Family Medicine Physician
- Albuquerque, NM
- NPI 1750103164
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Westside Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1548943202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 MATADOR DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871234222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 4TH ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871072510",
"telephone_number": "505-975-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGLIORE",
"first_name": "MARIO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "75014",
"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 Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.