Active NPI
Marc Henry Steinberg, MD
- Family Medicine Physician
- Taos, NM
National Provider Identifier
1801854864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 83-120
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00007831 | Medicaid | NM | |
| 080098208 | Other | RAILROAD 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83-120 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Associates of Taos | Current | Accepting new patients | |
| Family Practice Associates of Taos | Family Medicine | Current | Accepting new patients |
Locations
630 Paseo del Pueblo Sur
Ste 150
Taos, NM 87571
Phone (505) 758-3005
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Taos, NM
- NPI 1881619864
-
- Physiological Laboratory
- Taos, NM
- NPI 1407195233
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.