Individual provider Active NPI

Amanda Coker Harper, MD

  • Dermatology Physician
  • Albuquerque, NM
National Provider Identifier
1700925740
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2003-0235 Issued in NM
Practice address
7520 Montgomery Blvd NE BLDG D4
Albuquerque, NM 87109-1533
Phone
(505) 884-7070
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2003-0235 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE BLDG D4
Albuquerque, NM 87109-1533

Mailing address

1505 Columbia Dr NE
Albuquerque, NM 87106-2634
Phone (505) 220-9443

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.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000030 NM Practitioner - Dermatology 9234239856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of New Mexico School of Medicine, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7520 Montgomery Blvd NE
BLDG D4
Albuquerque, NM 87109-1533

7520 Montgomery Blvd NE BLDG
D4
Albuquerque, NM 87109-1533

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions812
Removal or shaving of skin growth1-10
Skin biopsy90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-0235NMMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Dermatology Associates, P.a. CurrentSince Jul 1, 2007 Accepting new patients
Primary Care of Albuquerque LLC PastSince Aug 25, 2024 Accepting new patients

Locations

7520 Montgomery Blvd NE
Bldg D5
Albuquerque, NM 87109
Phone (505) 884-7070

7520 Montgomery Blvd NE
Bldg D4
Albuquerque, NM 87109
Phone (505) 677-8343

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 and National Provider Directory roles.

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": "1412812800000",
    "number": "1700925740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 COLUMBIA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062634",
            "telephone_number": "505-220-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG D4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091533",
            "telephone_number": "505-884-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "AMANDA",
        "middle_name": "COKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "2003-0235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.