Organization Active NPI

Southwest Internists, LLC

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1720116437
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
89-268 Issued in NM
Legal business name
SOUTHWEST INTERNISTS, LLC
Practice address
700 High St NE
Albuquerque, NM 87102-2565
Phone
(505) 771-1089
Fax
(505) 771-2581
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Ms. Phyllis W. Knight
Title
Billing Manager
Phone
(505) 771-1089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 89-268 NM Primary

Addresses

Primary practice location

700 High St NE
Albuquerque, NM 87102-2565

Mailing address

PO Box 27608
Albuquerque, NM 87125-7608
Phone (505) 771-1089

Other identifiers 2

IdentifierTypeStateIssuer
NM007D80OtherNMBCBS GROUP#
55379354MedicaidNM

National Provider Directory

National Provider Directory

Locations

601 Dr Martin Luther King Jr Ave NE
Fl 8
Albuquerque, NM 87102
Phone (505) 727-8803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1720116437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27608",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871257608",
            "telephone_number": "505-771-1089",
            "fax_number": "505-771-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022565",
            "telephone_number": "505-771-1089",
            "fax_number": "505-771-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INTERNISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "505-771-1089",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "89-268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "NM007D80",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55379354",
            "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 May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.