Active NPI
Michael Smith Patterson, MD
- Pediatrics Physician
- Santa Fe, NM
National Provider Identifier
1790719078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 90-270
- Practice address
- 2590 Camino Entrada
Santa Fe, NM 87507-4876 - Phone
- (505) 946-3233
- Fax
- (505) 946-3234
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 90-270 | NM | Primary |
Addresses
Primary practice location
2590 Camino Entrada
Santa Fe, NM 87507-4876
Mailing address
2590 Camino Entrada
Santa Fe, NM 87507-4876
Phone (505) 946-3233
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202010446 | Other | PRESBYTERIAN HEALTH PLAN | |
| 10001079 | Other | LOVELACE | |
| 2714991 | Other | UHC | |
| NM029F60 | Other | NM | BCBS NM |
| PROVP15511 | Other | MOLINA | |
| 33146 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90-270 | NM | MD | Pediatrics Physician |
Interoperability endpoints
- mpatterson164680@christushealth.direct-ci.net
- mpatterson181679@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1790719078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2590 CAMINO ENTRADA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074876",
"telephone_number": "505-946-3233",
"fax_number": "505-946-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 CAMINO ENTRADA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074876",
"telephone_number": "505-946-3233",
"fax_number": "505-946-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MICHAEL",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "90-270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "202010446",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10001079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2714991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "NM029F60",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP15511",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33146",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.