Active NPI
Katia Elizabeth Chavez, MD MPH
- Ophthalmology Physician
- Albuquerque, NM
National Provider Identifier
1740642891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD2021-0254
- Practice address
- 5150 Journal Center Blvd NE
Albuquerque, NM 87109-5900 - Phone
- (505) 262-3937
- NPI assigned
- Mar 27, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME145600 | FL | |
| Ophthalmology Physician | 207W00000X | 35.140734 | OH | |
| General Practice Physician | 208D00000X | 35.140734 | OH | |
| General Practice Physician | 208D00000X | ME145600 | FL | |
| Ophthalmology Physician | 207W00000X | MD2021-0254 | NM | Primary |
Addresses
Primary practice location
5150 Journal Center Blvd NE
Albuquerque, NM 87109-5900
Mailing address
PO Box 26028
Albuquerque, NM 87125-6028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210607001079 | FL | Practitioner - General Practice | 1759676406 | |
| I20210608002887 | OH | Practitioner - General Practice | 1759676406 | |
| I20210614001478 | NM | Practitioner - Ophthalmology | 1759676406 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optumcare New Mexico LLC
Practice addresses (Care Compare)
5150 Journal Ctr Blvd NE
Albuquerque, NM 87109-5900
Phone (505) 262-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145600 | FL | MD | General Practice Physician |
| 35.140734 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare New Mexico LLC | Current | Accepting new patients | |
| Optumcare Endoscopy Center New Mexico, LLC | Past | Accepting new patients |
Locations
5150 Journal Center Blvd NE
Albuquerque, NM 87109
Phone (505) 262-3212
5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212
Interoperability endpoints
- kchavez120891@westdirect.optum.com
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1962685834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1740642891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26028",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 JOURNAL CENTER BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095900",
"telephone_number": "505-262-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "KATIA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME145600",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35.140734",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35.140734",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME145600",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NM",
"license": "MD2021-0254",
"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 Aug 22, 2024; 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.