NPIMap

Individual provider Active NPI

Joan Louise Carrellas, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1962628594
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2007-0254 Issued in NM
Practice address
455 Saint Michaels Dr
St. Vincent Hospitalist Group
Santa Fe, NM 87505-7601
Phone
(505) 989-6130
NPI assigned
Apr 18, 2007
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2007-0254 NM Primary

Addresses

Primary practice location

455 Saint Michaels Dr
St. Vincent Hospitalist Group
Santa Fe, NM 87505-7601

Mailing address

455 Saint Michaels Dr
St. Vincent Hospitalist Group
Santa Fe, NM 87505-7601
Phone (505) 989-6130

Other identifiers 1

IdentifierTypeStateIssuer
MD3949MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000069 NM Practitioner - Family PracticePractitioner - Emergency Medicine 3577640531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710

5501 Herrera Dr
Santa Fe, NM 87507-2684

7400 Menaul Blvd NE
Albuquerque, NM 87110-3636
Phone (505) 596-2400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 1, 2025 Accepting new patients
St. Vincent Hospital CurrentSince Mar 11, 2025 Accepting new patients
St Vincent Hospital Current Accepting new patients
Summit Emergency Medicine LLC CurrentSince Jan 28, 2020 Accepting new patients
Jemez Mountain Emergency Physicians LLC Past Accepting new patients

Locations

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

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

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

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

Interoperability endpoints

  • Direct secure messaging: carrellj@yourcarecommunity.org
  • Direct secure messaging: jcarrellas260903@direct.phs.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1962628594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "ST. VINCENT HOSPITALIST GROUP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-989-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "ST. VINCENT HOSPITALIST GROUP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-989-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRELLAS",
        "first_name": "JOAN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2007-0254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3949",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.