Active NPI
Jose Avitia, MD
- Hematology & Oncology Physician
- Albuquerque, NM
National Provider Identifier
1669511663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD2012-0096
- Practice address
- 4901 Lang Ave NE
Albuquerque, NM 87109-4495 - Phone
- (505) 842-8171
- NPI assigned
- Feb 6, 2007
- Last updated
- Jan 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27014 | OK | |
| Hematology & Oncology Physician | 207RH0003X | MD2012-0096 | NM | Primary |
Addresses
Primary practice location
4901 Lang Ave NE
Albuquerque, NM 87109-4495
Mailing address
4901 Lang Ave NE
Albuquerque, NM 87109-4495
Phone (505) 842-8171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24879762 | Medicaid | NM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2240 College Dr
Gallup, NM 87301-7003
Phone (505) 726-2400
4901 Lang Ave NE
Albuquerque, NM 87109-4495
Hospital & facility affiliations
- Gallup Indian Medical Center
- Presbyterian Hospital
- Cibola General Hospital
- Rehoboth McKinley Christian Health Care Services
- Lovelace Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.51 of 100
- Quality
- 93.17
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 74.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27014 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Oncology Hematology Consultants, LTD. | Hematology & Oncology | Current | Accepting new patients |
Locations
4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877
2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cibola General Hospital
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Hospital
-
dba RMCHCS Hospital
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1669511663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094495",
"telephone_number": "505-842-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094495",
"telephone_number": "505-842-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVITIA",
"first_name": "JOSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "27014",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "MD2012-0096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24879762",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.