Active NPI
Lara Barkoff MD PC
- Internal Medicine Physician
- Albuquerque, NM
National Provider Identifier
1831519800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 96-189
- Legal business name
- LARA BARKOFF MD PC
- Practice address
- 4123 Montgomery Blvd NE
Albuquerque, NM 87109-1102 - Phone
- (505) 934-9104
- NPI assigned
- Apr 17, 2014
- Last updated
- Apr 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lara Barkoff, M.D.
- Title
- Ceo/ Medical Director
- Phone
- (505) 934-9104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 96-189 | NM | Primary |
Addresses
Primary practice location
4123 Montgomery Blvd NE
Albuquerque, NM 87109-1102
Mailing address
4123 Montgomery Blvd NE
Albuquerque, NM 87109-1102
Phone (505) 934-9104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1497714695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397692800000",
"number": "1831519800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091102",
"telephone_number": "505-934-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091102",
"telephone_number": "505-934-9104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARA BARKOFF MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A",
"authorized_official_last_name": "BARKOFF",
"authorized_official_first_name": "LARA",
"authorized_official_title_or_position": "CEO/ MEDICAL DIRECTOR",
"authorized_official_telephone_number": "505-934-9104",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "96-189",
"primary": true
}
],
"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 Apr 17, 2014; 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.