Active NPI
Charles F Pace, MD
- Anesthesiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2000-259
- Practice address
- 4824 McMahon Blvd NW
Suite 119
Albuquerque, NM 87114-5412 - Phone
- (505) 898-1595
- Fax
- (505) 898-0846
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2000-259 | NM | Primary |
Addresses
Primary practice location
4824 McMahon Blvd NW
Suite 119
Albuquerque, NM 87114-5412
Mailing address
4824 McMahon Blvd NW
Suite 119
Albuquerque, NM 87114-5412
Phone (505) 898-1595
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM009L89 | Other | NM | BCBS |
| 201048060 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| 61727369 | Medicaid | NM |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Interventional Pain Medicine | Current | Accepting new patients |
| Santa Fe Pain & Spine Specialists PC | Past | Accepting new patients | |
| Interventional Pain Specialists of New Mexico, P.a. | Interventional Pain Medicine | Past | Accepting new patients |
| Presbyterian Healthcare Services | Interventional Pain Medicine | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
4100 High Resort Blvd SE
Ste 215
Rio Rancho, NM 87124
Phone (505) 291-2770
4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Interventional Pain Medicine Physician
- Albuquerque, NM
- NPI 1427104157
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Interventional Pain Medicine
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Interventional Pain Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Rio Rancho, NM
- NPI 1700814316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1922190040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4824 MCMAHON BLVD NW",
"address_2": "SUITE 119",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145412",
"telephone_number": "505-898-1595",
"fax_number": "505-898-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4824 MCMAHON BLVD NW",
"address_2": "SUITE 119",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145412",
"telephone_number": "505-898-1595",
"fax_number": "505-898-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "CHARLES",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "2000-259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM009L89",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "201048060",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61727369",
"state": "NM"
}
],
"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 Aug 24, 2023; 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.