NPIMap

Organization Active NPI

Unm Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1831218627
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNM MEDICAL GROUP INC
Practice address
2211 Lomas NE
Albuquerque, NM 87106
Phone
(505) 272-3303
NPI assigned
Mar 29, 2007
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Jill C. Klar
Title
Chief Operating Officer
Phone
(505) 272-3303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NM Primary
Trauma Surgery Physician 2086S0127X NU

Addresses

Primary practice location

2211 Lomas NE
Albuquerque, NM 87106

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-3303

Other practice location 1

2600 College Ave NE
Rio Rancho, NM 87144-2103
Phone (505) 994-5050

Other practice location 2

801 Encino Pl NE
Albuquerque, NM 87102-2612
Phone (505) 272-1312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070801000589 NM Part B Supplier - Clinic/Group Practice 4981795267 Receives reassigned benefits from 2,264 practitioners
Practice locations: Albuquerque, NM; Rio Rancho, NM

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1201 Camino de Salud NE
Albuquerque, NM 87102
Phone (505) 272-4443

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

801 Encino Pl NE
Albuquerque, NM 87102
Phone (505) 272-1312

1790 Grande Blvd SE
Rio Rancho, NM 87124
Phone (505) 272-8735

2600 College Ave NE
Rio Rancho, NM 87144
Phone (505) 930-4499

Practitioners & affiliated clinicians

Practitioners 2,355

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 2,355

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1831218627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRADBURY DR SE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064310",
            "telephone_number": "505-272-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-272-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 College Ave NE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871442103",
            "country_code": "US",
            "telephone_number": "505-994-5050",
            "fax_number": "505-272-7882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Encino Pl NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022612",
            "country_code": "US",
            "telephone_number": "505-272-1312",
            "fax_number": "505-246-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNM MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "KLAR",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "505-272-3303"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 1, 2024; 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.