Active NPI
Mark Haas, D.P.M.
- Podiatrist
- Albuquerque, NM
National Provider Identifier
1790782837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 136
- Practice address
- 8080 Academy Rd NE Ste C
Albuquerque, NM 87111-1159 - Phone
- (505) 247-4164
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 136 | NM | Primary |
Addresses
Primary practice location
8080 Academy Rd NE Ste C
Albuquerque, NM 87111-1159
Mailing address
8080 Academy Rd NE Ste C
Albuquerque, NM 87111-1159
Phone (505) 247-4164
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54304 | Medicaid | NM | |
| 16483 | Other | NM | PRESBYTERIAN PIN |
| NM005346 | Other | NM | BLUE CROSS PIN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albuquerque Associated Podiatrists | Podiatrist | Current | Accepting new patients |
| High Desert Foot & Ankle Specialists, LLC | Past | Accepting new patients | |
| Albuquerque Associated Podiatrists | Podiatrist | Past | Accepting new patients |
Locations
8080 Academy Rd NE
Ste C
Albuquerque, NM 87111
Phone (505) 247-4164
121 Sycamore St NE
Albuquerque, NM 87106
Phone (505) 247-4164
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGBIBA
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.
-
- Foot & Ankle Surgery Podiatrist
- Albuquerque, NM
- NPI 1942455910
-
- Podiatrist
- Albuquerque, NM
- NPI 1922219203
-
- Foot & Ankle Surgery Podiatrist
- Albuquerque, NM
- NPI 1962901090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1790782837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 ACADEMY RD NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111159",
"telephone_number": "505-247-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 ACADEMY RD NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111159",
"telephone_number": "505-247-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NM",
"license": "136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54304",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN PIN",
"identifier": "16483",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "NM005346",
"state": "NM"
}
],
"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 Mar 8, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.