Individual provider Active NPI

Tania D Pence, DO

  • Orthopaedic Surgery Physician
  • Las Vegas, NM
National Provider Identifier
1649294125
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DR0056511 Issued in CO
Practice address
105 Mills Ave Ste 200
Las Vegas, NM 87701-4169
Phone
(505) 426-3795
Fax
(505) 425-2653
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DR0056511 CO Primary

Addresses

Primary practice location

105 Mills Ave Ste 200
Las Vegas, NM 87701-4169

Mailing address

105 Mills Ave Ste 200
Las Vegas, NM 87701-4169
Phone (505) 426-3795

Other practice location 1

2121 E. Harmony Rd.
Suite 290
Fort Collins, CO 80528
Phone (970) 224-9890

Other identifiers 8

IdentifierTypeStateIssuer
1649294125OtherNMBCBS
1649294125OtherNMCIGNA
1649294125OtherNMLOVELACE
202034211OtherNMPRESBYTRIAN HEALTH PLAN
A-1373-06OtherNMNM LICENSE
NM301797OtherNMMEDICARE PTAN
04009221MedicaidCO
64622835MedicaidNM

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060816000575 NM Practitioner - Orthopedic Surgery 0941203723 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Kansas City University of Physicians and Surgeons, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (505) 727-2000

3917 W Rd
Suite 250
Los Alamos, NM 87544-5302
Phone (505) 661-3030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0056511COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 25, 2018 Accepting new patients
Roswell Clinic Corp Orthopaedic Surgery CurrentSince Aug 15, 2006 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Oct 1, 2025 Accepting new patients
Cibola General Hospital Corporation CurrentSince Sep 21, 2023 Accepting new patients
Los Alamos Physician Practices LLC CurrentSince Oct 1, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 25, 2018 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2024 Accepting new patients
Roswell Clinic Corp CurrentSince Aug 15, 2006 Accepting new patients

Locations

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

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

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

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

3917 West Rd
Ste 250
Los Alamos, NM 87544
Phone (505) 661-4147

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

454 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 303-5000

Interoperability endpoints

  • Direct secure messaging: tania.pence.1@19849.direct.athenahealth.com
  • Direct secure messaging: tpence05@yourcarecommunity.org
  • Direct secure messaging: tpence1136886@ahs.direct-ci.com

Organizations & group practices 9

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 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1649294125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MILLS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014169",
            "telephone_number": "505-426-3795",
            "fax_number": "505-425-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MILLS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014169",
            "telephone_number": "505-426-3795",
            "fax_number": "505-425-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E. Harmony Rd.",
            "address_2": "Suite 290",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "80528",
            "country_code": "US",
            "telephone_number": "970-224-9890",
            "fax_number": "970-224-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENCE",
        "first_name": "TANIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR0056511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1649294125",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1649294125",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "1649294125",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTRIAN HEALTH PLAN",
            "identifier": "202034211",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "A-1373-06",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NM301797",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04009221",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64622835",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.