Organization Active NPI

Abq Integrative Family Medicine LLC

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1851941330
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ABQ INTEGRATIVE FAMILY MEDICINE LLC
Practice address
6800 Montgomery Blvd NE Ste J
Albuquerque, NM 87109-1425
Phone
(505) 226-2300
Fax
(833) 996-1648
NPI assigned
Sep 16, 2019
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Marcus T Higi, MDNPI 1437125200
Title
Owner
Phone
(970) 560-1389

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6800 Montgomery Blvd NE Ste J
Albuquerque, NM 87109-1425

Mailing address

3301R Coors Blvd NW # 292
Albuquerque, NM 87120-1229
Phone (970) 560-1389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112000111 NM Part B Supplier - Clinic/Group Practice 2668804782 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2241673Abq Integrative Family Medicine6800 Montgomery Blvd NE Suite J, Albuquerque, NM 87109Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Locations

3301 Coors Blvd NW
Ste R
Albuquerque, NM 87120
Phone (505) 347-9631

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24661/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1851941330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301R COORS BLVD NW # 292",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201229",
            "telephone_number": "970-560-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 MONTGOMERY BLVD NE STE J",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091425",
            "telephone_number": "505-226-2300",
            "fax_number": "833-996-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABQ INTEGRATIVE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "HIGI",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-560-1389",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Oct 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.