Active NPI
Matthew Guetzlaff, DPM
- Foot & Ankle Surgery Podiatrist
- Albuquerque, NM
National Provider Identifier
1962068395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD472
- Practice address
- 4343 Pan American Fwy NE Ste 234
Albuquerque, NM 87107-6834 - Phone
- (505) 880-1000
- NPI assigned
- May 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD472 | NM | Primary |
Addresses
Primary practice location
4343 Pan American Fwy NE Ste 234
Albuquerque, NM 87107-6834
Mailing address
4343 Pan American Fwy NE Ste 234
Albuquerque, NM 87107-6834
Phone (505) 880-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Foot and Ankle Institute PC | Foot & Ankle Surgery | Current | Accepting new patients |
| New Mexico Foot and Ankle Institute PC | Current | Accepting new patients |
Locations
4343 Pan American Fwy NE
Ste 234
Albuquerque, NM 87107
Phone (505) 872-3333
Interoperability endpoints
- mguetz@nmfootandankle.emadirect.md
- mguetzlaff282857@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- Podiatrist
- Albuquerque, NM
- NPI 1225103450
Foot & Ankle Surgery
-
- Podiatrist
- Albuquerque, NM
- NPI 1326570599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1962068395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 PAN AMERICAN FWY NE STE 234",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871076834",
"telephone_number": "505-880-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 PAN AMERICAN FWY NE STE 234",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871076834",
"telephone_number": "505-880-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUETZLAFF",
"first_name": "MATTHEW",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-10",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NM",
"license": "POD472",
"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 Nov 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.