Individual provider Active NPI

Marc Henry Steinberg, MD

  • Family Medicine Physician
  • Taos, NM
National Provider Identifier
1801854864
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83-120 Issued in NM
Practice address
630 Paseo del Pueblo Sur
Suite 150
Taos, NM 87571-6070
Phone
(575) 758-3005
Fax
(575) 758-7010
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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 83-120 NM Primary

Addresses

Primary practice location

630 Paseo del Pueblo Sur
Suite 150
Taos, NM 87571-6070

Mailing address

630 Paseo del Pueblo Sur
Suite 150
Taos, NM 87571-6070
Phone (575) 758-3005

Other identifiers 2

IdentifierTypeStateIssuer
00007831MedicaidNM
080098208OtherRAILROAD MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000181 NM Practitioner - Family Practice 2860686979 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83-120NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of Taos CurrentSince Sep 8, 1992 Accepting new patients
Family Practice Associates of Taos Family Medicine CurrentSince Sep 8, 1992 Accepting new patients

Locations

630 Paseo del Pueblo Sur
Ste 150
Taos, NM 87571
Phone (505) 758-3005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2635/brand/1/csg/1/fhir/r4

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1801854864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR",
            "address_2": "SUITE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716070",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR",
            "address_2": "SUITE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716070",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBERG",
        "first_name": "MARC",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "83-120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00007831",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080098208",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.