Active NPI
Stephanie Alcaraz-Reza, PA
- Medical Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 9388 Valley View Dr NW
Albuquerque, NM 87114-4908 - Phone
- (505) 503-8806
- NPI assigned
- Jun 6, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
9388 Valley View Dr NW
Albuquerque, NM 87114-4908
Mailing address
130 Koontz Rd
Corrales, NM 87048-9002
Phone (314) 517-5824
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1108 US Route 66 W
Moriarty, NM 87035-1006
Phone (505) 281-5180
1901 Juan Tabo Blvd NE
Albuquerque, NM 87112-3303
Phone (505) 281-5180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Medical Centers of NM, Inc. | Current | Accepting new patients |
Locations
4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123
11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333
3121 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 228-2108
7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995
1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200
12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460
1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463
517 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 326-2255
1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070
Interoperability endpoints
- stephanie.alcaraz-reza.1@27050.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Cedar Crest, NM
- NPI 1700393782
-
- Family Medicine Physician
- Cedar Crest, NM
- NPI 1215580832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1609225184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 KOONTZ RD",
"city": "CORRALES",
"state": "NM",
"postal_code": "870489002",
"telephone_number": "314-517-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9388 VALLEY VIEW DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144908",
"telephone_number": "505-503-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCARAZ-REZA",
"first_name": "STEPHANIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"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 Jun 6, 2016; 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.