Individual provider Active NPI

Edward H Taliaferro, MD

  • Emergency Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1740252519
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD2004-0796 Issued in NM
Practice address
PMG Emergency Medicine
1101 Central SE
Albuquerque, NM 87106
Phone
(505) 841-1125
Fax
(505) 841-1737
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD2004-0796 NM Primary

Addresses

Primary practice location

PMG Emergency Medicine
1101 Central SE
Albuquerque, NM 87106

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
36470538MedicaidNM

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
I20050610000424 NM Practitioner - Emergency MedicinePractitioner - General Practice 2163460791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
Columbia University College of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke City Urgent CareGroup PAC ID 3173848058, 35 clinicians

Practice addresses (Care Compare)

7200 Montgomery Blvd NE
Albuquerque, NM 87109-1510
Phone (505) 207-3421

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
71.09
Promoting interoperability
100
Improvement activities
40
Cost
76.53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke City Urgent Care CurrentSince Jan 21, 2015 Accepting new patients
McLeod Medical Centers of NM, Inc. Family Medicine CurrentSince Jan 20, 2020 Accepting new patients
Unm Medical Group, Inc. CurrentSince Nov 17, 2010 Accepting new patients
Unm Medical Group Inc CurrentSince Nov 17, 2010 Accepting new patients
McLeod Medical Centers of NM, Inc. Family Medicine CurrentSince Jan 20, 2020 Accepting new patients
Duke City Occupational Healthcare, LLC Past Accepting new patients

Locations

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

3121 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 228-2108

4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123

11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421

12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460

1202 Main St NE
Los Lunas, NM 87031
Phone (505) 539-1172

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: edward.taliaferro.1@27050.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27050/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1740252519",
    "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": "PMG EMERGENCY MEDICINE",
            "address_2": "1101 CENTRAL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-841-1125",
            "fax_number": "505-841-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "EDWARD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2004-0796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36470538",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.