Individual provider Active NPI

Juliet Coquia, MD

  • Rheumatology Physician
  • Albuquerque, NM
National Provider Identifier
1730204520
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
101236254 Issued in NM
Practice address
8100 Constitution PL NE Ste 210
PMG Kaseman Arthritis Clinic
Albuquerque, NM 87110-7625
Phone
(505) 291-2222
Fax
(505) 291-2440
NPI assigned
Mar 20, 2007
Last updated
Jul 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 101236254 NM Primary

Addresses

Primary practice location

8100 Constitution PL NE Ste 210
PMG Kaseman Arthritis Clinic
Albuquerque, NM 87110-7625

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356

Other identifiers 1

IdentifierTypeStateIssuer
27724735MedicaidNM

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
I20060221000332 NM Practitioner - Rheumatology 6305890674 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101236254NMMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald J Rosandich, M.D. P.a. CurrentSince Dec 30, 2016 Accepting new patients
New Mexico Rheumatology, LLC Rheumatology CurrentSince Dec 30, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8200 Louisiana Blvd NE
Albuquerque, NM 87113
Phone (505) 268-2481

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1730204520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-5356",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 CONSTITUTION PL NE STE 210",
            "address_2": "PMG KASEMAN ARTHRITIS CLINIC",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107625",
            "telephone_number": "505-291-2222",
            "fax_number": "505-291-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COQUIA",
        "first_name": "JULIET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "101236254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27724735",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.