Active NPI
Christopher R Miera, MD
- Family Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 88-53
- Practice address
- 9101 Montgomery Blvd NE
Albuquerque, NM 87111-2405 - Phone
- (505) 275-4288
- Fax
- (505) 275-4203
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 88-53 | NM | Primary |
Addresses
Primary practice location
9101 Montgomery Blvd NE
Albuquerque, NM 87111-2405
Mailing address
PO Box 26028
Albuquerque, NM 87125-6028
Phone (505) 262-3135
Other practice location 1
3411 N 5th Ave Ste 209
Phoenix, AZ 85013-3812
Phone (602) 789-0344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00005843 | Medicaid | NM | |
| 328742YR41 | Other | NM | MEDICARE PTAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88-53 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Optumcare Endoscopy Center New Mexico, LLC | Past | Accepting new patients |
Locations
5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Organizations & group practices 3
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba DaVita Medical Endoscopy
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1962685834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1932293313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26028",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256028",
"telephone_number": "505-262-3135",
"fax_number": "505-232-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112405",
"telephone_number": "505-275-4288",
"fax_number": "505-275-4203"
}
],
"practiceLocations": [
{
"address_1": "3411 N 5th Ave Ste 209",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850133812",
"country_code": "US",
"telephone_number": "602-789-0344",
"fax_number": "602-789-8389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIERA",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "88-53",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00005843",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "328742YR41",
"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 Jan 31, 2019; 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.