Individual provider Active NPI

Gary Andrew Aisenbrey, MD

  • Maternal & Fetal Medicine Physician
  • Alb, NM
National Provider Identifier
1609845320
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
84-132 Issued in NM
Practice address
201 Cedar SE #405
Alb, NM 87106
Phone
(505) 764-9535
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 84-132 NM Primary

Addresses

Primary practice location

201 Cedar SE #405
Alb, NM 87106

Mailing address

201 Cedar SE #405
Alb, NM 87106
Phone (505) 764-9535

Other identifiers 1

IdentifierTypeStateIssuer
02352MedicaidNM

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050430000068 NM Practitioner - Obstetrics/Gynecology 4981681145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perinatal Associates of New Mexico LTDGroup PAC ID 2668375130, 6 clinicians

Practice addresses (Care Compare)

201 Cedar St SE
Suite 405
Albuquerque, NM 87106-4924
Phone (505) 764-9535

4801 Beckner Rd
Suite 2750
Santa Fe, NM 87507-3641
Phone (505) 984-2560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84-132NMMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perinatal Associates of New Mexico, LTD Maternal & Fetal Medicine CurrentSince May 3, 2005 Accepting new patients
Perinatal Associates of New Mexico, LTD Maternal & Fetal Medicine Past Accepting new patients

Locations

201 Cedar St SE
Ste 405
Albuquerque, NM 87106
Phone (505) 764-9535

622 W Maple St
Ste G
Farmington, NM 87401
Phone (505) 325-2805

4801 Beckner Rd
#2750
Santa Fe, NM 87507
Phone (505) 984-2560

Interoperability endpoints

  • Direct secure messaging: gar.aisenbrey@panm.directbygreenway.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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1609845320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CEDAR SE #405",
            "city": "ALB",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-764-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR SE #405",
            "city": "ALB",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-764-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AISENBREY",
        "first_name": "GARY",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NM",
            "license": "84-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02352",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alb, NM

Sources for this page

Verify at the official NPI Registry.