NPIMap

Organization Active NPI

New Mexico Pac Services PC

  • Hospitalist Physician
  • Santa Fe, NM
National Provider Identifier
1801325634
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
NEW MEXICO PAC SERVICES PC
Practice address
635 Harkle Rd
Santa Fe, NM 87505-4751
Phone
(865) 693-1000
NPI assigned
Jun 6, 2017
Last updated
Jun 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Authorized official

Name
Dr. Rohit Uppal, MD
Title
President
Phone
(865) 693-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

635 Harkle Rd
Santa Fe, NM 87505-4751

Mailing address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Phone (865) 693-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016003197 NM Part B Supplier - Clinic/Group Practice 3072889211 Receives reassigned benefits from 24 practitioners
Practice locations: Gallup, NM; Grants, NM; Las Cruces, NM; Albuquerque, NM; Las Vegas, NM; Los Alamos, NM; Rio Rancho, NM; Roswell, NM…

National Provider Directory

National Provider Directory

Locations

239 Elm St NE
Albuquerque, NM 87102
Phone (505) 242-1010

5900 Cubero Dr NE
Albuquerque, NM 87109
Phone (505) 797-3530

7208 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 821-1200

9150 McMahon Blvd NW
Albuquerque, NM 87114
Phone (505) 348-3922

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1801325634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-693-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 HARKLE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054751",
            "telephone_number": "865-693-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PAC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-693-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.