Individual provider Active NPI

Marta Terlecki, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Albuquerque, NM
National Provider Identifier
1881627461
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
91-130 Issued in NM
Practice address
717 Encino PL NE
Suite 17
Albuquerque, NM 87102-2611
Phone
(505) 247-2141
Fax
(505) 245-7117
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 91-130 NM Primary

Addresses

Primary practice location

717 Encino PL NE
Suite 17
Albuquerque, NM 87102-2611

Mailing address

PO Box 51375
Albuquerque, NM 87181-1375
Phone (505) 242-4599

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000128 NM Practitioner - Endocrinology 4183632664 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Feb 10, 2020 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Feb 10, 2020 Accepting new patients
Medical Whisperer Janet L Blanchard MD Internal Medicine Consultantllc PastSince Aug 29, 2018 Accepting new patients

Locations

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

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1881627461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51375",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871811375",
            "telephone_number": "505-242-4599",
            "fax_number": "505-242-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "SUITE 17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-247-2141",
            "fax_number": "505-245-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLECKI",
        "first_name": "MARTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NM",
            "license": "91-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.