Individual provider Active NPI

William Edwin Kuchar, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1609104074
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93-309 Issued in NM
Practice address
2221 Dietz PL NW
Albuquerque, NM 87107-3109
Phone
(505) 670-5295
NPI assigned
Nov 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 93-309 NM Primary

Addresses

Primary practice location

2221 Dietz PL NW
Albuquerque, NM 87107-3109

Mailing address

2221 Dietz PL NW
Albuquerque, NM 87107-3109
Phone (505) 670-5295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001913 NM Order and Referring Only - Family PracticePractitioner - Family Practice 3173829314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93-309NMMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1609104074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 DIETZ PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073109",
            "telephone_number": "505-670-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 DIETZ PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073109",
            "telephone_number": "505-670-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHAR",
        "first_name": "WILLIAM",
        "middle_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "93-309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.