Active NPI
Theresa Renee Heynekamp, MD
- Pulmonary Disease Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD2009-0096
- Practice address
- 500 Walter St NE Ste 501
Albuquerque, NM 87102-2521 - Phone
- (505) 727-3170
- Fax
- (505) 727-9590
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD2009-0096 | NM | |
| Pulmonary Disease Physician | 207RP1001X | MD2009-0096 | NM | Primary |
| Internal Medicine Physician | 207R00000X | MD2009-0096 | NM |
Addresses
Primary practice location
500 Walter St NE Ste 501
Albuquerque, NM 87102-2521
Mailing address
4101 Indian School Rd NE Ste 110
Albuquerque, NM 87110-3991
Phone (505) 727-3170
Other practice location 1
2211 Lomas Blvd NE
MSC 10-550
Albuquerque, NM 87106-2745
Phone (505) 272-4751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43871763 | Medicaid | NM |
Other names 1
- Theresa Renee White
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Familycare Associates,PA | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
500 Walter St NE
Ste 501
Albuquerque, NM 87102
Phone (505) 244-0080
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Organizations & group practices 5
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.
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1821137852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 INDIAN SCHOOL RD NE STE 110",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103991",
"telephone_number": "505-727-3170",
"fax_number": "505-727-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WALTER ST NE STE 501",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022521",
"telephone_number": "505-727-3170",
"fax_number": "505-727-9590"
}
],
"practiceLocations": [
{
"address_1": "2211 Lomas Blvd NE",
"address_2": "MSC 10-550",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871062745",
"country_code": "US",
"telephone_number": "505-272-4751",
"fax_number": "505-272-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEYNEKAMP",
"first_name": "THERESA",
"middle_name": "RENEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NM",
"license": "MD2009-0096",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NM",
"license": "MD2009-0096",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2009-0096",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43871763",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "WHITE",
"middle_name": "RENEE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.