Organization Active NPI

Duke City Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1790185577
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD2004-0796 Issued in NM
Legal business name
DUKE CITY URGENT CARE
Practice address
11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660
Phone
(505) 207-3421
Fax
(505) 702-8171
NPI assigned
Aug 28, 2014
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Edward H Taliaferro IV, M.D.NPI 1740252519
Title
President
Phone
(505) 238-6757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD2004-0796 NM Primary

Addresses

Primary practice location

11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660

Mailing address

11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660
Phone (505) 207-3421

Other practice location 1

7200 Montgomery Blvd NE
Albuquerque, NM 87109-1510
Phone (505) 715-6812

Other practice location 2

4410 Irving Blvd NW
Albuquerque, NM 87114-5951
Phone (505) 636-5721

Other practice location 3

1044 Main St NE
Los Lunas, NM 87031-7401
Phone (505) 539-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150218000138 NM Part B Supplier - Clinic/Group Practice 3173848058 Receives reassigned benefits from 87 practitioners
Practice locations: Albuquerque, NM; Cedar Crest, NM; Los Lunas, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2085807Duke City Urgent Care11601 Montgomery Blvd NE Suite a, Albuquerque, NM 87111Certificate of waiverOct 21, 2026
32D2155771Duke City Urgent Care4410 Irving Blvd NW, Albuquerque, NM 87114Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421

3121 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 228-2108

3500 Constitution Ave NE
Ste A
Albuquerque, NM 87106
Phone (505) 814-1995

4410 Irving Blvd NW
Ste 300
Albuquerque, NM 87114
Phone (505) 242-3991

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27050/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 91

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1790185577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112660",
            "telephone_number": "505-207-3421",
            "fax_number": "505-702-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112660",
            "telephone_number": "505-207-3421",
            "fax_number": "505-702-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091510",
            "country_code": "US",
            "telephone_number": "505-715-6812",
            "fax_number": "505-872-0635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 Irving Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871145951",
            "country_code": "US",
            "telephone_number": "505-636-5721",
            "fax_number": "505-897-5023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1044 Main St NE",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317401",
            "country_code": "US",
            "telephone_number": "505-539-1172",
            "fax_number": "505-565-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUKE CITY URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "TALIAFERRO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-238-6757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NM",
            "license": "MD2004-0796",
            "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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.