Active NPI
Stephanie M Parks, DPM
- Foot & Ankle Surgery Podiatrist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PDT-529
- Practice address
- 500 Walter St NE Ste 510a
Albuquerque, NM 87102-2534 - Phone
- (505) 404-9922
- NPI assigned
- Jul 5, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PDT-529 | CO | Primary |
Addresses
Primary practice location
500 Walter St NE Ste 510a
Albuquerque, NM 87102-2534
Mailing address
500 Walter St NE Ste 510a
Albuquerque, NM 87102-2534
Phone (055) 404-9922
Other practice location 1
7700 Menaul Blvd NE Ste D
Albuquerque, NM 87110-4639
Phone (505) 299-4487
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Walter St NE
Suite 309
Albuquerque, NM 87102-2562
Phone (505) 727-1701
Hospital & facility affiliations
- Lovelace Medical Center
- Lovelace Women'S Hospital
- Lovelace Westside Hospital
- Lovelace Unm Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 167 |
| Removal of nail tissue | 132 |
| Removal or shaving of skin growth | 67 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PDT-529 | CO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Stephanie M Parks DPM LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
500 Walter St NE
Ste 309
Albuquerque, NM 87102
Phone (505) 404-9922
7700 Menaul Blvd NE
Ste D
Albuquerque, NM 87110
Phone (505) 299-4487
500 Walter St NE
Ste 510A
Albuquerque, NM 87102
Phone (505) 404-9922
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
Interoperability endpoints
- sparks10231@ahs.direct-ci.com
Organizations & group practices 3
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
-
- Foot & Ankle Surgery Podiatrist
- Albuquerque, NM
- NPI 1356817837
-
- 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": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1760747844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WALTER ST NE STE 510A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022534",
"telephone_number": "055-404-9922",
"fax_number": "949-404-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WALTER ST NE STE 510A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022534",
"telephone_number": "505-404-9922"
}
],
"practiceLocations": [
{
"address_1": "7700 Menaul Blvd NE Ste D",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871104639",
"country_code": "US",
"telephone_number": "505-299-4487",
"fax_number": "505-299-4498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "STEPHANIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CO",
"license": "PDT-529",
"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 May 19, 2022; 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.