Organization Active NPI

Medicine at Downtown LTD.

  • Primary Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1932206117
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
03-061797-00-9 Issued in NM
Legal business name
MEDICINE AT DOWNTOWN LTD.
Practice address
925 Coal Ave SW
Albuquerque, NM 87102-3743
Phone
(505) 246-1670
Fax
(505) 246-1677
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mark Unverzagt, M.D.NPI 1922080621
Title
President
Phone
(505) 246-1670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 03-061797-00-9 NM Primary

Addresses

Primary practice location

925 Coal Ave SW
Albuquerque, NM 87102-3743

Mailing address

PO Box 313
Albuquerque, NM 87103-0313
Phone (505) 246-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061121000303 NM Part B Supplier - Clinic/Group Practice 0244238533 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

925 Coal Ave SW
Albuquerque, NM 87102
Phone (505) 246-1670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1932206117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871030313",
            "telephone_number": "505-246-1670",
            "fax_number": "505-246-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 COAL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023743",
            "telephone_number": "505-246-1670",
            "fax_number": "505-246-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE AT DOWNTOWN LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "UNVERZAGT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-246-1670",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "03-061797-00-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.