Individual provider Active NPI

Suzanne Pinon, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1659388619
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
94-357 Issued in NM
Practice address
8400 Menaul Blvd NE
Suite a-141
Albuquerque, NM 87112-2260
Phone
(505) 797-2724
NPI assigned
Aug 2, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 94-357 NM Primary

Addresses

Primary practice location

8400 Menaul Blvd NE
Suite a-141
Albuquerque, NM 87112-2260

Mailing address

8400 Menaul Blvd NE
Suite a-141
Albuquerque, NM 87112-2260
Phone (505) 797-2724

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
I20070827000656 NM Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6002908639

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keck Enterprises, LLC Geriatric Medicine Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Roadrunner HealthcareAlbuquerque, NM, CCN 321576 Hospice Contracted Managing Employee
Other
Apr 9, 2021
Apr 9, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1659388619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 MENAUL BLVD NE",
            "address_2": "SUITE A-141",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122260",
            "telephone_number": "505-797-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 MENAUL BLVD NE",
            "address_2": "SUITE A-141",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122260",
            "telephone_number": "505-797-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINON",
        "first_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "94-357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.