Individual provider Active NPI

Andrew Phillip Schannen, M.D.

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1669785937
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD2016-0639 Issued in NM
Practice address
2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412
Phone
(505) 724-4300
Fax
(505) 338-0034
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 MD2016-0639 NM Primary

Addresses

Primary practice location

2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412

Mailing address

1248 N Norton Ave
Tucson, AZ 85719-4715
Phone (802) 310-1674

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
I20161107001471 NM Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 6901127281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Utah School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2101 Unser Blvd SE
Nmo Rio Rancho Clinic
Rio Rancho, NM 87124-6378
Phone (505) 724-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.56 of 100Reported as individual
Quality
56.48
Promoting interoperability
65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Orthopaedic Associates PC Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 17, 2016 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 17, 2016 Accepting new patients
New Mexico Orthopaedic Associates PC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1700 Louisiana Blvd NE
Albuquerque, NM 87110
Phone (505) 724-4300

2100 Louisiana Blvd NE
Ste 410
Albuquerque, NM 87110
Phone (505) 724-4300

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

2101 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 724-4700

Interoperability endpoints

  • Direct secure messaging: andrewschannen@direct.nmoccda.com

Organizations & group practices 4

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 2

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1669785937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 N NORTON AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194715",
            "telephone_number": "802-310-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LOUISIANA BLVD NE STE 410",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105412",
            "telephone_number": "505-724-4300",
            "fax_number": "505-338-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANNEN",
        "first_name": "ANDREW",
        "middle_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2016-0639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.