Individual provider Active NPI

Tenzin Kunsang

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1922595263
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2021-0593 Issued in NM
Practice address
5501 Herrera Dr
Santa Fe, NM 87507-2684
Phone
(505) 913-3233
Fax
(505) 913-3224
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Family Medicine Physician 207Q00000X MD2021-0593 NM Primary

Addresses

Primary practice location

5501 Herrera Dr
Santa Fe, NM 87507-2684

Mailing address

MSC 09-5040 Family Medicine 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6607

Other practice location 1

Msc 09-5040 Family Medicine 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6607

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
I20210927002409 NM Practitioner - Family Practice 2769730167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

5501 Herrera Dr
B
Santa Fe, NM 87507-2684
Phone (505) 913-4180

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2021-0593NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital Current Accepting new patients
St. Vincent Hospital CurrentSince Sep 27, 2021 Accepting new patients
St. Vincent Hospital Family Medicine CurrentSince Sep 27, 2021 Accepting new patients

Locations

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

5501 Herrera Dr
Ste B
Santa Fe, NM 87507
Phone (505) 913-4180

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

5501 Herrera Dr
Santa Fe, NM 87507
Phone (505) 913-3233

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

5501 Herrera Dr
#B
Santa Fe, NM 87507
Phone (505) 913-4180

5501 Herrera Dr
#A
Santa Fe, NM 87507
Phone (505) 913-3233

Interoperability endpoints

  • Direct secure messaging: tkunsang169336@christushealth.direct-ci.net

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 1

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1922595263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 09-5040 FAMILY MEDICINE 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-6607",
            "fax_number": "505-272-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 HERRERA DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072684",
            "telephone_number": "505-913-3233",
            "fax_number": "505-913-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 09-5040 Family Medicine 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6607",
            "fax_number": "505-272-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNSANG",
        "first_name": "TENZIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2021-0593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.