NPIMap

Individual provider Active NPI

Fabian Sanchez

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1639837776
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4515 Coors Blvd NW
Albuquerque, NM 87120-3699
Phone
(605) 787-0219
NPI assigned
Dec 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4515 Coors Blvd NW
Albuquerque, NM 87120-3699

Mailing address

4515 Coors Blvd NW
Albuquerque, NM 87120-3699
Phone (505) 596-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, SD2 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
I20230930000525 NM Practitioner - Physician Assistant 8224482807 Reassigns benefits to 2 organizations
I20260610000843 SD Practitioner - Physician Assistant 8224482807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

1108 US Route 66 W
Moriarty, NM 87035-1006
Phone (505) 281-5180

11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796
Phone (505) 281-5180

12127B Hwy 14 N
Suite 5
Cedar Crest, NM 87008-9499
Phone (505) 281-5180

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112-3303
Phone (505) 281-5180

640 Flormann St
Rapid City, SD 57701-4679
Phone (605) 755-3300

7200 Montgomery Blvd NE
Suite 7121
Albuquerque, NM 87109-1510
Phone (505) 281-5180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Sep 12, 2023 Accepting new patients
McLeod Medical Centers of NM, Inc. CurrentSince May 3, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 12, 2023 Accepting new patients

Locations

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200

4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123

11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200

12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460

1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463

1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070

Interoperability endpoints

  • Direct secure messaging: fsanchez237990@direct.phs.org
  • Direct secure messaging: fabian.sanchez.1@27050.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1639837776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203699",
            "telephone_number": "505-596-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203699",
            "telephone_number": "605-787-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "FABIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-06",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.