Individual provider Active NPI

Dennis Garcia, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1720051964
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89-198 Issued in NM
Practice address
9501 Paseo del Norte NE
Albuquerque, NM 87122-2998
Phone
(505) 262-9205
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00034547 WA
Family Medicine Physician 207Q00000X 89-198 NM Primary

Addresses

Primary practice location

9501 Paseo del Norte NE
Albuquerque, NM 87122-2998

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028

Other identifiers 2

IdentifierTypeStateIssuer
81455062MedicaidNM
8233967MedicaidWA

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
I20170828003941 NM Practitioner - Family Practice 6901179894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare New Mexico LLCGroup PAC ID 9032125810, 69 clinicians

Practice addresses (Care Compare)

5150 Journal Ctr Blvd NE
Albuquerque, NM 87109-5900
Phone (505) 262-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89-198NMMDFamily Medicine Physician
MD00034547WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare New Mexico LLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Aug 28, 2017 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Aug 28, 2017 Accepting new patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients
Lovelace Health System, LLC Family Medicine PastSince Sep 8, 2024 Accepting new patients

Locations

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

9501 Paseo del Norte NE
Albuquerque, NM 87122
Phone (505) 206-3949

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

5150 Journal Center Blvd NE
Albuquerque, NM 87109
Phone (505) 262-3212

Interoperability endpoints

  • Direct secure messaging: dgarcia119242@westdirect.optum.com

Organizations & group practices 5

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1720051964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 PASEO DEL NORTE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222998",
            "telephone_number": "505-262-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00034547",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "89-198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81455062",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8233967",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.