Active NPI
Andrew Thomas Theus, PA-C
- Physician Assistant
- Estancia, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2019-0052
- Practice address
- 903 5TH St # C
Estancia, NM 87016-1155 - Phone
- (505) 384-2777
- NPI assigned
- May 28, 2019
- Last updated
- Jul 16, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2019-0052 | NM | Primary |
Addresses
Primary practice location
903 5TH St # C
Estancia, NM 87016-1155
Mailing address
PO Box 305
Edgewood, NM 87015-0305
Phone (706) 575-8004
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
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Lead Ave SE
Albuquerque, NM 87106-5215
Phone (505) 224-7000
2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2019-0052 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
1100 Lead Ave SE
Albuquerque, NM 87106
Phone (505) 224-7000
301 Cedar St SE
Albuquerque, NM 87106
Phone (505) 224-7000
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000
2400 Unser Blvd SE
Ste 19100
Rio Rancho, NM 87124
Phone (505) 224-7000
2400 Unser Blvd SE
Ste 19100A
Rio Rancho, NM 87124
Phone (505) 224-7000
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
Interoperability endpoints
- atheus227494@direct.phs.org
Organizations & group practices 6
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
dba Rio Rancho Family Health Center
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba PMS Central Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1518910553
-
dba Espanola Hospital
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1568029239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "EDGEWOOD",
"state": "NM",
"postal_code": "870150305",
"telephone_number": "706-575-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 5TH ST # C",
"city": "ESTANCIA",
"state": "NM",
"postal_code": "870161155",
"telephone_number": "505-384-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEUS",
"first_name": "ANDREW",
"middle_name": "THOMAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2019-0052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estancia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.