Individual provider Active NPI

Theresa Michelle Genovese Elliott, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Fe, NM
National Provider Identifier
1801830179
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
99-206 Issued in NM
Practice address
4801 Beckner Rd Level 1 Pod 2
Ste 1650
Santa Fe, NM 87507-0000
Phone
(505) 772-2000
Fax
(505) 983-5202
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 99206 NM
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 99-206 NM Primary

Addresses

Primary practice location

4801 Beckner Rd Level 1 Pod 2
Ste 1650
Santa Fe, NM 87507-0000

Mailing address

PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770

Other practice location 1

1450 Ellis St Ste 201
Bozeman, MT 59715-8813
Phone (406) 587-0112

Other practice location 2

4200 Beckner Rd
Santa Fe, NM 87507-3774
Phone (505) 477-2200

Other names 1

  • Dr. Theresa Michelle Genovese Elliott Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, MT2 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
I20040326001306 NM Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8224920913 Reassigns benefits to 2 organizations
I20200320001860 MT Practitioner - Physical Medicine and Rehabilitation 8224920913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of New Mexico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nexus HealthGroup PAC ID 9234509282, 31 clinicians

Practice addresses (Care Compare)

2085 S Pacheco St
Santa Fe, NM 87505-6103
Phone (505) 670-8292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99206NMMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Health CurrentSince Aug 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 1, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 1, 2023 Accepting new patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince May 1, 2020 Accepting new patients
Albuquerque Center for Rheumatology PC PastSince Oct 1, 1996 Accepting new patients
Nexus Health Primary Care LLC Past Accepting new patients
Presbyterian Healthcare Services PastSince Sep 5, 2023 Accepting new patients
Manzano Medical Group, P.C. Past Accepting new patients

Locations

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

2085 S Pacheco St
Santa Fe, NM 87505
Phone (505) 395-3000

4200 Beckner Rd
Santa Fe, NM 87507
Phone (505) 477-2200

4801 Beckner Rd
Ste 1650
Santa Fe, NM 87507
Phone (505) 772-2000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a7511550-a8b1-48d8-b97c-d2a4596e52d2/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4
  • Direct secure messaging: theresa.genovese-elliott@nexushealth.ikm.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1801830179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BECKNER RD LEVEL 1 POD 2",
            "address_2": "STE 1650",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875070000",
            "telephone_number": "505-772-2000",
            "fax_number": "505-983-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Ellis St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597158813",
            "country_code": "US",
            "telephone_number": "406-587-0112",
            "fax_number": "844-656-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Beckner Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073774",
            "country_code": "US",
            "telephone_number": "505-477-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENOVESE ELLIOTT",
        "first_name": "THERESA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NM",
            "license": "99206",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NM",
            "license": "99-206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "GENOVESE ELLIOTT",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.