Albuquerque Center for Rheumatology PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

94-116 Issued in NM

Legal business name

ALBUQUERQUE CENTER FOR RHEUMATOLOGY PC

Practice address

1617 University Blvd NE
Albuquerque, NM 87102-1710

Phone

(505) 341-4148

Fax

(505) 345-9914

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leroy Arnold Pacheco, MDNPI 1568438752

Title

Owner

Phone

(505) 341-4148

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Albuquerque Rehabilitation & Rheumatology PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a7511550-a8b1-48d8-b97c-d2a4596e52d2/

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leroy Arnold Pacheco, MD

  • Rheumatology Physician
  • Albuquerque, NM
  • NPI 1568438752
  Medicare reassignment Care Compare group NPD Authorized official
• Jacqueline Kim Dean, MD

  • Rheumatology Physician
  • Albuquerque, NM
  • NPI 1184690364
  Medicare reassignment Care Compare group
• Scott Stoerner, MD

  • Rheumatology Physician
  • Albuquerque, NM
  • NPI 1053507715
  Medicare reassignment NPD
• Theresa Michelle Genovese Elliott, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Fe, NM
  • NPI 1801830179
  NPD (past)
• Bridget Goldfarb, CFNP

  • Nurse Practitioner
  • Rio Rancho, NM
  • NPI 1619983327
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1639145808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021710",
            "telephone_number": "505-341-4148",
            "fax_number": "505-345-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021710",
            "telephone_number": "505-341-4148",
            "fax_number": "505-345-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE CENTER FOR RHEUMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-341-4148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "94-116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12375",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "522944752M",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albuquerque Rehabilitation & Rheumatology PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Albuquerque Behavioral Health, LLC
• Albuquerque Care Holdings LLC (Invigorate Post Acute of Albuquerque)
• Albuquerque Caregiving Company LLC
• Albuquerque Carter Vocational High School
• Albuquerque Center for Dermatology, PA
• Albuquerque Center for the Treatment of Eating Disorders
• Albuquerque Charter School Alliance (New Mexico Coalition for Charter Schools)
• Albuquerque Collaborative Therapeutics, Inc.
• Albuquerque Complete Senior Care (Integrated Senior Healthcare)
• Albuquerque Conscious Connection, LLC

• Physical Medicine & Rehabilitation Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Medicine & Rehabilitation Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.