David L Hemphill, MD
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Corrales, NM
NPI 1699735100 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1699735100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- MD20040714 (NM)
- Practice address
- 4313 Corrales Rd Ste 2
Corrales, NM 87048-8663 - Phone
- (505) 400-5544
- Fax
- (833) 974-2306
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Columbia University College of Physicians and Surgeons, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4313 Corrales Rd
Suite 2
Corrales, NM 87048-8663
Phone (505) 228-5178
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 |
|---|---|---|---|---|
| I20050413001094 | NM | Practitioner - Internal Medicine |
0648228833 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20040714 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Partners | Current |
Accepting new patients | |
| Hope Medical Services, LLC | Current |
Accepting new patients | |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients |
Locations
4550 Eubank Blvd NE
Ste 107
Albuquerque, NM 87111
Phone (505) 332-1006
4313 Corrales Rd
Ste 2
Corrales, NM 87048
Phone (505) 228-5178
Interoperability endpoints
- david.hemphill.1@22192.direct.athenahealth.com
- dhemphill297981@ahs.direct-ci.com
- https://api.platform.athenahealth.com/22192/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD20040714 | NM | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD20040714 | NM | Yes |
Addresses
Primary practice location
4313 Corrales Rd Ste 2
Corrales, NM 87048-8663
Mailing address
4313 Corrales Rd Ste 2
Corrales, NM 87048-8663
Phone (505) 400-5544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55285261 | Medicaid | NM |
Other providers in Corrales, NM
- James Harding
- Dawn R Hart
- Anita Marie Harwood
- Chris Hatchett
- Healing Arts Consulting and Counseling LLC
- Yolandra J Hensley
- Kirsten Hermann
- Rachel Hipple
- Mary Claire Hobbs
- Robert Daryl Hobbs
All providers in Corrales, NM · Geriatric Medicine (Internal Medicine) 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 Nov 5, 2024. 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.