Individual provider Active NPI

Laura Verkest Dwyer, MD

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1801020847
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2017-0868 Issued in NM
Practice address
901 W Alameda St
Santa Fe, NM 87501-1681
Phone
(505) 955-9454
Fax
(505) 982-6298
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2017-0868 NM Primary

Addresses

Primary practice location

901 W Alameda St
Santa Fe, NM 87501-1681

Mailing address

PO Box 6880
Santa Fe, NM 87502-6880
Phone (505) 955-9454

Other practice location 1

4009 N Broadway St
Chicago, IL 60613-2110
Phone (773) 275-2586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140403001339 IL Practitioner - Family PracticePractitioner - Internal Medicine 1850523952 Reassigns benefits to 1 organization
I20171102002841 NM Practitioner - Family Practice 1850523952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.130823ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Alliance Health CurrentSince Jan 8, 2024 Accepting new patients
Heartland Alliance Health Current Accepting new patients

Locations

5501 S Halsted St
Chicago, IL 60621
Phone (773) 275-2568

4009 N Broadway St
Chicago, IL 60613
Phone (773) 275-2586

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1801020847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6880",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026880",
            "telephone_number": "505-955-9454",
            "fax_number": "505-982-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W ALAMEDA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011681",
            "telephone_number": "505-955-9454",
            "fax_number": "505-982-6298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132110",
            "country_code": "US",
            "telephone_number": "773-275-2586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "LAURA",
        "middle_name": "VERKEST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2017-0868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.