Active NPI
Elisabeth Obenauf, MD
- Obstetrics & Gynecology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD2017-0148
- Practice address
- 4640 Jefferson LN NE
Albuquerque, NM 87109-2127 - Phone
- (505) 843-6168
- Fax
- (505) 338-3456
- NPI assigned
- Apr 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD2017-0148 | NM | Primary |
Addresses
Primary practice location
4640 Jefferson LN NE
Albuquerque, NM 87109-2127
Mailing address
6320 Riverside Plaza LN NW Ste B
Albuquerque, NM 87120-1710
Phone (505) 843-6168
Other names 1
- Elisabeth Odegard
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of New Mexico School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Coal Ave SE
Albuquerque, NM 87106-5205
Phone 50584361683005
4640 Jefferson LN NE
Albuquerque, NM 87109-2127
Phone (505) 843-6168
6320 Riverside Plaza LN NW
Albuquerque, NM 87120-1710
Phone (505) 843-6168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2017-0148 | NM | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Specialists of New Mexico LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Lovelace Health System, LLC | Past | Accepting new patients |
Locations
4640 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 843-6168
1001 Coal Ave SE
Albuquerque, NM 87106
Phone (505) 841-1001
201 Cedar St SE
Ste 5640
Albuquerque, NM 87106
Phone (505) 563-6530
6320 Riverside Plaza Ln NW
Ste B
Albuquerque, NM 87120
Phone (505) 843-6168
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Albuquerque, NM
- NPI 1063418960
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1881037406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 RIVERSIDE PLAZA LN NW STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201710",
"telephone_number": "505-843-6168",
"fax_number": "505-338-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 JEFFERSON LN NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092127",
"telephone_number": "505-843-6168",
"fax_number": "505-338-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBENAUF",
"first_name": "ELISABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "MD2017-0148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISABETH",
"last_name": "ODEGARD",
"code": "5",
"type": "Other 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 22, 2026; 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.
- 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.