NPIMap

Individual provider Active NPI

Evan Fogha

  • Hospitalist Physician
  • Santa Fe, NM
National Provider Identifier
1619363405
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD2018-0085 Issued in NM
Practice address
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone
(505) 983-3361
NPI assigned
Apr 8, 2015
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2018-0085 NM
Hospitalist Physician 208M00000X MD2018-0085 NM Primary

Addresses

Primary practice location

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Mailing address

PO Box 648
Hanover, MD 21076-0648
Phone (304) 598-4850

Other practice location 1

2100 North Martin Lurther King Jr. Blvd
Clovis, NM 88101
Phone (575) 769-2141

Other practice location 2

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Other practice location 3

2400 Unser Blvd SE
Rio Rancho, NM 87124-4740
Phone (505) 253-7878

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu
Direct Messaging Address UNMMG@direct.health.unm.edu
Direct Messaging Address SRMC@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180824000462 WV Practitioner - Internal Medicine 9436451085 Reassigns benefits to 1 organization
I20181101002971 NM Practitioner - HospitalistPractitioner - Internal Medicine 9436451085 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of New Mexico School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unm Medical Group IncGroup PAC ID 4981795267, 1,052 clinicians
Unm HospitalGroup PAC ID 7618889528, 394 clinicians
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-6130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2018-0085NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital CurrentSince Jan 7, 2019 Accepting new patients
Unm Medical Group, Inc. CurrentSince May 1, 2020 Accepting new patients
St Vincent Hospital Current Accepting new patients
Unm Medical Group Inc CurrentSince May 1, 2020 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine Past Accepting new patients

Locations

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: efogha178906@christushealth.direct-ci.net

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1619363405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210760648",
            "telephone_number": "304-598-4850",
            "fax_number": "304-598-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-983-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 North Martin Lurther King Jr. Blvd",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "88101",
            "country_code": "US",
            "telephone_number": "575-769-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371141",
            "country_code": "US",
            "telephone_number": "304-329-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Unser Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244740",
            "country_code": "US",
            "telephone_number": "505-253-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGHA",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2018-0085",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "MD2018-0085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMMG@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "800 Bradbury Dr SE Ste 116",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SRMC@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "3001 Broadmoor Blvd NE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871442100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.