Active NPI
Sherna Sheth, DDS, MD
- Otolaryngology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD2024-1148
- Practice address
- 1020 Tijeras Ave NE Ste 22
Albuquerque, NM 87106-4749 - Phone
- (505) 727-1670
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414163 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Otolaryngology Physician | 207Y00000X | MD2024-1148 | NM | Primary |
Addresses
Primary practice location
1020 Tijeras Ave NE Ste 22
Albuquerque, NM 87106-4749
Mailing address
MSC 10-5610 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6451
Other practice location 1
11061 Hull Street Rd
Midlothian, VA 23112-3255
Phone (804) 955-8052
Other practice location 2
Msc 10-5610 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2024-1148 | Other | NM | NEW MEXICO LICENSE |
| 0401414163 | Other | VA | VIRGINIA BOARD OF DENTISTRY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
Hospital & facility affiliations
- Lovelace Westside Hospital
- Lovelace Women'S Hospital
- Lovelace Medical Center
- Lovelace Unm Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414163 | VA | MD | Dentist |
| MD2024-1148 | NM | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
1020 Tijeras Ave NE
Ste 22
Albuquerque, NM 87106
Phone (505) 727-1670
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
Interoperability endpoints
- ssheth1258357@ahs.direct-ci.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.
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
- Rehabilitation Hospital
- Albuquerque, NM
- NPI 1700325677
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1750793147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MSC 10-5610 1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-6451",
"fax_number": "505-925-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 TIJERAS AVE NE STE 22",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064749",
"telephone_number": "505-727-1670"
}
],
"practiceLocations": [
{
"address_1": "11061 Hull Street Rd",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231123255",
"country_code": "US",
"telephone_number": "804-955-8052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Msc 10-5610 1 University Of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-6451",
"fax_number": "505-925-4310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHETH",
"first_name": "SHERNA",
"name_prefix": "Dr.",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414163",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "MD2024-1148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO LICENSE",
"identifier": "MD2024-1148",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF DENTISTRY",
"identifier": "0401414163",
"state": "VA"
}
],
"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 Nov 18, 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.