Individual provider Active NPI

Steven G Tolber, MD

  • Allergy & Immunology Physician
  • Albuquerque, NM
National Provider Identifier
1902807746
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
74-101 Issued in NM
Practice address
2509 Virginia St NE
Ste a
Albuquerque, NM 87110-4695
Phone
(505) 237-2574
Fax
(505) 237-3632
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 74-101 NM Primary

Addresses

Primary practice location

2509 Virginia St NE
Ste a
Albuquerque, NM 87110-4695

Mailing address

2509 Virginia St NE
Ste a
Albuquerque, NM 87110-4695
Phone (505) 237-2574

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
I20050914000274 NM Practitioner - Allergy/Immunology 6002842218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Emory University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Allergy Associates of New Mexico IncGroup PAC ID 3072803212, 5 clinicians

Practice addresses (Care Compare)

5310 Homestead Rd NE
Suite 201
Albuquerque, NM 87110-1524
Phone (505) 237-2574

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74-101NMMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Allergy Associates of New Mexico Inc Allergy & Immunology CurrentSince Apr 16, 2016 Accepting new patients

Locations

5310 Homestead Rd NE
Ste 201
Albuquerque, NM 87110
Phone (505) 237-2574

2509 Virginia St NE
Ste A
Albuquerque, NM 87110
Phone (505) 237-2574

Organizations & group practices 1

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 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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1902807746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 VIRGINIA ST NE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104695",
            "telephone_number": "505-237-2574",
            "fax_number": "505-237-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 VIRGINIA ST NE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104695",
            "telephone_number": "505-237-2574",
            "fax_number": "505-237-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBER",
        "first_name": "STEVEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NM",
            "license": "74-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.