Active NPI
Charlesly Joseph, MD
- Internal Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2006-0332
- Practice address
- Unm Hospital Internal Medicine
Albuquerque, NM 87131-0001 - Phone
- (505) 272-6225
- NPI assigned
- Feb 6, 2007
- Last updated
- Nov 4, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2006-0332 | NM | Primary |
Addresses
Primary practice location
Unm Hospital Internal Medicine
Albuquerque, NM 87131-0001
Mailing address
2211 Lomas Blvd NE
MSC 084770
Albuquerque, NM 87131-0001
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
- Internal Medicine
- Education
- Warren Alpert Medical School of Brown University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5201 Roma Ave NE
Albuquerque, NM 87108-1334
Phone (505) 262-2311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-0332 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 West LLC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current | Accepting new patients | |
| New Mexico Pac Services PC | Current | Accepting new patients | |
| St. John Healthcare and Rehabilitation Center, LLC | Past | Accepting new patients | |
| Peak Medical New Mexico No. 3 LLC | Past | Accepting new patients |
Locations
7208 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 821-1200
7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565
3025 Terrace Dr
Las Cruces, NM 88011
Phone (575) 522-1362
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Rio Rancho Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2024 Mar 9, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Rio Rancho Center
- Skilled Nursing Facility
- Rio Rancho, NM
- NPI 1659325504
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Santa Fe, NM
- NPI 1801325634
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1366928749
-
dba Rio Rancho Center
- Skilled Nursing Facility
- Rio Rancho, NM
- NPI 1659325504
-
dba St. John Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1447442512
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rio Rancho Center
- Skilled Nursing Facility
- Rio Rancho, NM
- NPI 1659325504
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1770622714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 LOMAS BLVD NE",
"address_2": "MSC 084770",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNM HOSPITAL INTERNAL MEDICINE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "CHARLESLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "2006-0332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Joseph F Hollinger MD PC
- Joseph M Molina MD Professional Corporation - Southern California Moli (Molina Medical Group of Southern California)
- Joseph M Molina MD Professional Corporation-Southern California (Molina Medical Group of Southern CA)
- Joseph Miller & Associates LLC
- Amanda Lynn Joseph, M.D.
- Dawn M Joseph, MD
- Jackson Joseph, DO
- Jill Joseph, RN
- Justin Martin Joseph, MD
- Nadia Joseph
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.