Individual provider Active NPI

Olivia E. Morris, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Albuquerque, NM
National Provider Identifier
1619998267
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A-1818-14 Issued in NM
Practice address
10511 Golf Course Rd NW Ste 204
Albuquerque, NM 87114-5917
Phone
(505) 727-4430
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4121 AZ
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 4121 AZ
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 4121 AZ
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X K1574 TX
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A-1818-14 NM Primary

Addresses

Primary practice location

10511 Golf Course Rd NW Ste 204
Albuquerque, NM 87114-5917

Mailing address

4101 Indian School Rd NE Ste 110
Albuquerque, NM 87110-3991
Phone (505) 727-4430

Other identifiers 11

IdentifierTypeStateIssuer
5550830009OtherAZMEDICARE NSC AZ NORTH
16587090MedicaidNM
5550830001OtherAZMEDICARE NSC SCW
Z226497OtherAZMEDICARE PTAN
5550830004OtherAZMEDICARE NSC PV
5550830003OtherAZMEDICARE NSC PEORIA
5550830007OtherAZMEDICARE NSC DV
5550830008OtherAZMEDICARE NSC SWV
5550830006OtherAZMEDICARE NSC ANTHEM
882515MedicaidAZ
5550830010OtherAZMEDICARE NSC GILBERT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040909000239 AZ Practitioner - Orthopedic Surgery 1052387248 Reassigns benefits to 1 organization
I20131004000010 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1052387248 Reassigns benefits to 1 organization
I20230328002624 NM Practitioner - Orthopedic Surgery 1052387248 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4121AZMDPeriodontist
A-1818-14NMMDSports Medicine (Orthopaedic Surgery) Physician
K1574TXMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Mar 20, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Mar 20, 2023 Accepting new patients
Emil H Annabi MD PC CurrentSince Apr 1, 2022 Accepting new patients
Emil H Annabi MD PC PastSince Feb 18, 2024 Accepting new patients
Payson Healthcare Management Inc PastSince Oct 1, 1999 Accepting new patients
Rim Country Sports Medicine and Orthopedic Surgery Past Accepting new patients
Sierra Vista Regional Health Center Medical Group LLC Orthopaedic Surgery Past Accepting new patients
Center for Orthopedic Research and Education, LLC Sports Medicine Past Accepting new patients
Center for Orthopedic Research and Education Inc Past Accepting new patients
Center for Orthopedic Research and Education LLC Past Accepting new patients

Locations

4485 S I 19 Frontage Rd
#100
Green Valley, AZ 85614
Phone (520) 399-6000

6840 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 399-6000

6226 E Pima St
Ste 3
Tucson, AZ 85712
Phone (520) 323-1600

4601 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 399-6000

10511 Golf Course Rd NW
Ste 204
Albuquerque, NM 87114
Phone (505) 727-4430

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

Interoperability endpoints

  • Direct secure messaging: omorris@pimapaincenter.gwaydirect.com

Organizations & group practices 11

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1619998267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 INDIAN SCHOOL RD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103991",
            "telephone_number": "505-727-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-727-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "OLIVIA",
        "middle_name": "E.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "4121",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "4121",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "4121",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "K1574",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NM",
            "license": "A-1818-14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC AZ NORTH",
            "identifier": "5550830009",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16587090",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC SCW",
            "identifier": "5550830001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z226497",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC PV",
            "identifier": "5550830004",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC PEORIA",
            "identifier": "5550830003",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC DV",
            "identifier": "5550830007",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC SWV",
            "identifier": "5550830008",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC ANTHEM",
            "identifier": "5550830006",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882515",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC GILBERT",
            "identifier": "5550830010",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.