Active NPI
William T Mansfield, MD
- Cardiovascular Disease Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD2010-0485
- Practice address
- 504 Elm St NE
Albuquerque, NM 87102-2512 - Phone
- (505) 724-2000
- NPI assigned
- Nov 12, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | EC-06-1072 | ME | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD2010-0485 | NM | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Cardiovascular Disease Physician | 207RC0000X | MD2010-0485 | NM | Primary |
Addresses
Primary practice location
504 Elm St NE
Albuquerque, NM 87102-2512
Mailing address
71 Camino Cabo
Santa Fe, NM 87508-2277
Phone (505) 690-9545
Other practice location 1
Msc10 5550
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4751
Other practice location 2
Msc10 5550
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86181084 | 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
- Cardiovascular Disease (Cardiology)
- Education
- University of New Mexico School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1631 Hospital Dr
Suite 112
Santa Fe, NM 87505-4728
Phone (505) 913-4780
2237 Trinity Dr
Suite B
Los Alamos, NM 87544-3314
Phone (505) 662-8870
2990 Rodeo Park Dr E
Santa Fe, NM 87505-6302
Phone (505) 913-8900
433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232
445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
- Holy Cross Hospital a Div of Taos Health Systems
- Lovelace Medical Center
- Los Alamos Medical Center
- Presbyterian Santa Fe Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EC-06-1072 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| St. Vincent Hospital | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| St Vincent Hospital | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
502 Elm St NE
Albuquerque, NM 87102
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
2237 Trinity Dr
Ste B
Los Alamos, NM 87544
Phone (505) 662-8870
1631 Hospital Dr
Ste 110
Santa Fe, NM 87505
Phone (505) 982-7246
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
Interoperability endpoints
- wmansfield9384@ahs.direct-ci.com
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1518084128
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- Rural Acute Care Hospital
- Los Alamos, NM
- NPI 1285701623
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1730684853
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1720159890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 CAMINO CABO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875082277",
"telephone_number": "505-690-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022512",
"telephone_number": "505-724-2000"
}
],
"practiceLocations": [
{
"address_1": "Msc10 5550",
"address_2": "1 University of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-4751",
"fax_number": "505-272-8700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Msc10 5550",
"address_2": "1 University of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-4751",
"fax_number": "505-272-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSFIELD",
"first_name": "WILLIAM",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "EC-06-1072",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NM",
"license": "MD2010-0485",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NM",
"license": "MD2010-0485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86181084",
"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 Mar 17, 2018; 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.