Active NPI
Malcolm H Purdy, M.D.
- Specialist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 95-325
- Practice address
- 715 Dr Martin Luther King Jr Ave SE
Suite 102
Albuquerque, NM 87102 - Phone
- (505) 727-3040
- Fax
- (505) 727-3099
- NPI assigned
- Apr 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 95-325 | NM | Primary |
Addresses
Primary practice location
715 Dr Martin Luther King Jr Ave SE
Suite 102
Albuquerque, NM 87102
Mailing address
715 Dr Martin Luther King Jr Ave NE
Suite 102
Albuquerque, NM 87102-3661
Phone (505) 727-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T5579 | 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 Utah School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
715 Dr Martin Luther King Jr Ave NE
Suite 102
Albuquerque, NM 87102-3666
Phone (505) 727-3040
Hospital & facility affiliations
- Lovelace Medical Center
- Lovelace Women'S Hospital
- Lovelace Westside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Health System LLC | Current | Accepting new patients | |
| Lovelace Health System LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients |
Locations
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000
715 Martin Luther King Ave NE
Ste 102
Albuquerque, NM 87102
Phone (505) 727-3040
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
Interoperability endpoints
- mpurdy10436@ahs.direct-ci.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.
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Clinic/Center
- Santa Fe, NM
- NPI 1245798024
-
- Obstetrics Physician
- Albuquerque, NM
- NPI 1811175714
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1679535827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 DR MARTIN LUTHER KING JR AVE NE",
"address_2": "SUITE 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023661",
"telephone_number": "505-727-3040",
"fax_number": "505-727-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 DR MARTIN LUTHER KING JR AVE SE",
"address_2": "SUITE 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-727-3040",
"fax_number": "505-727-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "MALCOLM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "95-325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T5579",
"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 14, 2015; 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.