Individual provider Active NPI

Esteban A Henao, MD

  • Vascular Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1881653277
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
12696 Issued in SD
Practice address
502 Elm St NE
Albuquerque, NM 87102-2512
Phone
(505) 841-1000
Fax
(505) 843-2592
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 33756 NE
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD2006-0041 NM
Vascular Surgery Physician 2086S0129X 12696 SD Primary
Vascular Surgery Physician 2086S0129X MD2006-0041 NM

Addresses

Primary practice location

502 Elm St NE
Albuquerque, NM 87102-2512

Mailing address

345 W Steamboat Dr
Ste 601
Dakota Dunes, SD 57049-5287
Phone (605) 217-5610

Other names 1

  • Steve Henao Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20060614000136 NM Practitioner - Vascular Surgery 1052323938 Reassigns benefits to 1 organization
I20260409000388 TX Practitioner - Vascular Surgery 1052323938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Palmas del Sol Cardiology, PLLCGroup PAC ID 2769608348, 16 clinicians

Practice addresses (Care Compare)

10175 Gateway Blvd W
Suite 220
El Paso, TX 79925-2203
Phone (915) 351-1444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33756NEMDVascular Surgery Physician
12696SDMDVascular Surgery Physician
MD2006-0041NMMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jul 18, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 18, 2022 Accepting new patients
Ryan K Anderson D P M P C Vascular Surgery CurrentSince Dec 7, 2020 Accepting new patients

Locations

201 Cedar St SE
Ste 800
Albuquerque, NM 87106
Phone (505) 563-2500

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766

105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313

121 El Paso Rd
Ruidoso, NM 88345
Phone (505) 257-4061

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

1213 Gusdorf Rd
Taos, NM 87571
Phone (505) 913-3490

1618 N Lee Trevino Dr
Ste D
El Paso, TX 79936
Phone (206) 703-2204

Interoperability endpoints

  • Direct secure messaging: esteban.henao.1@10534.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1881653277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W STEAMBOAT DR",
            "address_2": "STE 601",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495287",
            "telephone_number": "605-217-5610",
            "fax_number": "605-217-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAO",
        "first_name": "ESTEBAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NE",
            "license": "33756",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "MD2006-0041",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SD",
            "license": "12696",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NM",
            "license": "MD2006-0041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVE",
            "last_name": "HENAO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.