NPIMap

Individual provider Active NPI

Luis Constantin, MD

  • Clinical Cardiac Electrophysiology Physician
  • Albuquerque, NM
National Provider Identifier
1740284082
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
2001-161 Issued in NM
Practice address
715 Martin Luther King Ave NE
Suite 210
Albuquerque, NM 87102-3661
Phone
(505) 248-1800
Fax
(505) 248-1917
NPI assigned
Jun 1, 2005
Last updated
Nov 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2001-161 NM
Clinical Cardiac Electrophysiology Physician 207RC0001X 2001-161 NM Primary

Addresses

Primary practice location

715 Martin Luther King Ave NE
Suite 210
Albuquerque, NM 87102-3661

Mailing address

715 Martin Luther King Ave NE
Suite 210
Albuquerque, NM 87102-3661
Phone (505) 248-1800

Other identifiers 1

IdentifierTypeStateIssuer
G5666MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000401 NM Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 5698734481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Indiana University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-161NMMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 1, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 1, 2019 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Current Accepting new patients
New Mexico Heart Institute, LLC Cardiovascular Disease Past Accepting new patients
Lehigh Valley Cardio Diagnostics PC Cardiovascular Disease Past Accepting new patients
Eecp LLC Cardiovascular Disease Past Accepting new patients
The Heart Care Group, PC Cardiovascular Disease Past Accepting new patients

Locations

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

1101 Medical Arts Ave NE
Bldg 5
Albuquerque, NM 87102
Phone (505) 272-2231

502 Elm St NE
Albuquerque, NM 87102

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

1399 Weimer Rd
Ste 200
Taos, NM 87571
Phone (505) 758-2224

Interoperability endpoints

  • Direct secure messaging: lconstantin140663@direct.phs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1740284082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MARTIN LUTHER KING AVE NE",
            "address_2": "SUITE 210",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023661",
            "telephone_number": "505-248-1800",
            "fax_number": "505-248-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MARTIN LUTHER KING AVE NE",
            "address_2": "SUITE 210",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023661",
            "telephone_number": "505-248-1800",
            "fax_number": "505-248-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTIN",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "2001-161",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NM",
            "license": "2001-161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G5666",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.