Active NPI
Gary Andrew Aisenbrey, MD
- Maternal & Fetal Medicine Physician
- Alb, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 84-132
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02352 | Medicaid | NM |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LTD
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84-132 | NM | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perinatal Associates of New Mexico, LTD | Maternal & Fetal Medicine | Current | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Albuquerque, NM
- NPI 1376565952
Maternal & Fetal Medicine, NM
-
- Maternal & Fetal Medicine Physician
- El Paso, TX
- NPI 1982550554
Maternal & Fetal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.