Richard A. Wachs, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MD2016-0029 Issued in NM

Practice address

4901 Lang Ave NE
Ste 100
Albuquerque, NM 87109-4495

Phone

(505) 883-2574

Fax

(505) 265-4033

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Allergy/Immunology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breatheamerica Albuquerque IncGroup PAC ID 4789711912, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

17.04 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

56.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIEIBA

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.

• Breatheamerica Albuquerque, Inc.

  • Allergy Physician
  • Albuquerque, NM
  • NPI 1659607414
  Medicare reassignment Care Compare group NPD
• Main Line Allergy , L.L.P.

  • Allergy & Immunology Physician
  • Ardmore, PA
  • NPI 1437104460
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1619922622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 MERIDIAN BLVD",
            "address_2": "STE 320",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676670",
            "telephone_number": "615-665-7115",
            "fax_number": "615-665-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "address_2": "STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094495",
            "telephone_number": "505-883-2574",
            "fax_number": "505-265-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHS",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MA075145",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NM",
            "license": "MD2016-0029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duc C Vuong, M.D.
• Mimi Vuong
• Indravadan Vyas, MD
• W Gregory Rose DDS PA
• Kimberly Joy Waack, PA-C
• David Wachter, MD
• Meredith J Wachter
• William Wackocki
• Jessica Marie Waconda
• Karen Waconda, LMT

• Allergy Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Allergy Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.

Verify at the official NPI Registry.