Active NPI
Julie Farrer, MD
- Gastroenterology Physician
- Albuquerque, NM
National Provider Identifier
1720172190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 96-208
- Practice address
- 4705 Montgomery Blvd NE
Suite 102
Albuquerque, NM 87109-1234 - Phone
- (505) 727-7833
- Fax
- (505) 727-6944
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 96208 | NM | |
| Gastroenterology Physician | 207RG0100X | 96-208 | NM | Primary |
Addresses
Primary practice location
4705 Montgomery Blvd NE
Suite 102
Albuquerque, NM 87109-1234
Mailing address
4705 Montgomery Blvd NE
Suite 102
Albuquerque, NM 87109-1234
Phone (505) 727-7833
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000095 | NM | Practitioner - Gastroenterology | 8325004500 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of New Mexico School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southwest Medical Associates, LLC
Practice addresses (Care Compare)
4705 Montgomery Blvd NE
Suite 201
Albuquerque, NM 87109-1233
Phone (505) 727-7833
Hospital & facility affiliations
- Lovelace Women'S Hospital
- Lovelace Medical Center
- Lovelace Westside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 186 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 291 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96208 | NM | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Health System LLC | Current | Accepting new patients | |
| Lovelace Health System LLC | Current | Accepting new patients | |
| Lovelace Health System, LLC | Current | Accepting new patients | |
| Familycare Associates,PA | Past | Accepting new patients |
Locations
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000
4801 McMahon Blvd NW
Ste 110
Albuquerque, NM 87114
Phone (505) 727-4500
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
Interoperability endpoints
- jfarrer7895@ahs.direct-ci.com
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Obstetrics Physician
- Albuquerque, NM
- NPI 1811175714
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1164137964
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1720172190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 MONTGOMERY BLVD NE",
"address_2": "SUITE 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091234",
"telephone_number": "505-727-7833",
"fax_number": "505-727-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 MONTGOMERY BLVD NE",
"address_2": "SUITE 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091234",
"telephone_number": "505-727-7833",
"fax_number": "505-727-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRER",
"first_name": "JULIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "96208",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "96-208",
"primary": true
}
],
"identifiers": [],
"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 1, 2016; 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.