Individual provider Active NPI

Michael Charles Chartrand, MD

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1851317192
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2009-0047 Issued in NM
Practice address
333 Montano Rd NW Ste A1
Albuquerque, NM 87107-5200
Phone
(505) 777-3003
Fax
(505) 808-4976
NPI assigned
Jul 13, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301056000 MI
Internal Medicine Physician 207R00000X MD2009-0047 NM Primary

Addresses

Primary practice location

333 Montano Rd NW Ste A1
Albuquerque, NM 87107-5200

Mailing address

PO Box 740018
Atlanta, GA 30374-0018
Phone (312) 733-9730

Other practice location 1

4208 Central Ave SW Ste G
Albuquerque, NM 87105-1695
Phone (505) 777-3001

Other practice location 2

5555 Zuni Rd SE Ste 11
Albuquerque, NM 87108-2935
Phone (505) 777-3002

Other practice location 3

1625 Rio Bravo Blvd SW Ste 36
Albuquerque, NM 87105-6060
Phone (505) 777-3004

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address UNMMG@direct.health.unm.edu
Direct Messaging Address UNMH@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090904000475 NM Practitioner - General PracticePractitioner - Internal Medicine 2163501677 Reassigns benefits to 3 organizations
I20200129000650 NV Practitioner - Internal Medicine 2163501677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine
Education
Michigan State University College of Human Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unm Medical Group IncGroup PAC ID 4981795267, 1,052 clinicians

Practice addresses (Care Compare)

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301056000MIMDInternal Medicine Physician
MD2009-0047NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of New Mexico LLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Oct 17, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Oct 17, 2022 Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Jan 7, 2020 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C Internal Medicine CurrentSince Jan 7, 2020 Accepting new patients
Southwest Care Center Past Accepting new patients
DLM Internal Medicine Inc Internal Medicine PastSince Oct 17, 2021 Accepting new patients

Locations

1625 Rio Bravo Blvd SW
Ste 36
Albuquerque, NM 87105
Phone (505) 777-3004

333 Montano Rd NW
Ste A1
Albuquerque, NM 87107
Phone (505) 355-1422

4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001

5555 Zuni Rd SE
Ste 11
Albuquerque, NM 87108
Phone (505) 280-6849

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19212/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1851317192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740018",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MONTANO RD NW STE A1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075200",
            "telephone_number": "505-777-3003",
            "fax_number": "505-808-4976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4208 Central Ave SW Ste G",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871051695",
            "country_code": "US",
            "telephone_number": "505-777-3001",
            "fax_number": "505-808-4977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Zuni Rd SE Ste 11",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871082935",
            "country_code": "US",
            "telephone_number": "505-777-3002",
            "fax_number": "505-521-5189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Rio Bravo Blvd SW Ste 36",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871056060",
            "country_code": "US",
            "telephone_number": "505-777-3004",
            "fax_number": "505-808-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARTRAND",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301056000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2009-0047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMMG@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "800 Bradbury Dr SE Ste 116",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.