William J Wengs, MD
Individual provider Active NPI Neurology Physician · Sante Fe, NM
NPI 1649363649 · NPPES record last updated Sep 3, 2013
Key facts
- NPI
- 1649363649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 98-414 (NM)
- Practice address
- 2009 Botulph Rd
Suite 500
Sante Fe, NM 87505 - Phone
- (505) 986-2890
- Fax
- (505) 986-2893
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- University of New Mexico School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Hospital
Practice addresses (Care Compare)
1631 Hospital Dr
Suite 112
Santa Fe, NM 87505-4728
Phone (505) 913-4780
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
- Presbyterian Espanola Hospital
- Los Alamos Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050311000165 | NM | Practitioner - Neurology |
8022062199 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital | Current | Accepting new patients | |
| St. Vincent Hospital | Current |
Accepting new patients | |
| St. Vincent Hospital | Current |
Accepting new patients | |
| St. Vincent Hospital | Neurology | Past |
Accepting new patients |
Locations
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
465 Saint Michaels Dr
Ste 116
Santa Fe, NM 87505
Phone (505) 913-4260
1631 Hospital Dr
Ste 100
Santa Fe, NM 87505
Phone (505) 955-8420
1631 Hospital Dr
#112
Santa Fe, NM 87505
Phone (505) 913-4780
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
Interoperability endpoints
- wwengs165448@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 98-414 | NM | Yes |
Addresses
Primary practice location
2009 Botulph Rd
Suite 500
Sante Fe, NM 87505
Mailing address
2009 Botulph Rd
Suite 500
Sante Fe, NM 87505
Phone (505) 986-2890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T9528 | Medicaid | NM |
Other providers in Sante Fe, NM
- Keith D Jameson DDS PC
- Anne Klosterman
- Lifecare Mountain Home Care LLC
- Lifecare Mountain Hospice, LLC
- Philip O Rivera
All providers in Sante Fe, NM · Neurology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.