Active NPI
O'Connell Caleb Penrose, MD
- General Practice Physician
- Albuquerque, NM
National Provider Identifier
1548947971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2026032184
- Practice address
- 2050A 2ND St SE
Albuquerque, NM 87117-5522 - Phone
- (843) 996-9027
- NPI assigned
- Jun 28, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2026032184 | MO | Primary |
Addresses
Primary practice location
2050A 2ND St SE
Albuquerque, NM 87117-5522
Mailing address
2050A 2ND St SE
Albuquerque, NM 87117-5522
Phone (843) 996-9027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712004791 | GA | Order and Referring Only - Family Practice | 8325408024 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- oconnell.penrose@hca6.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1548947971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050A 2ND ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871175522",
"telephone_number": "843-996-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050A 2ND ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871175522",
"telephone_number": "843-996-9027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENROSE",
"first_name": "O'CONNELL",
"middle_name": "CALEB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "2026032184",
"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 Jul 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.