Individual provider Active NPI

Kenneth S Himmel, MD

  • Ophthalmology Physician
  • Albuquerque, NM
National Provider Identifier
1972567154
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD2006-0146 Issued in NM
Practice address
5757 Harper Drive NE
Albuquerque, NM 87109
Phone
(505) 888-5757
Fax
(505) 889-3589
NPI assigned
Apr 14, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD2006-0146 NM Primary

Addresses

Primary practice location

5757 Harper Drive NE
Albuquerque, NM 87109

Mailing address

8801 Horizon Blvd NE
Suite 360
Albuquerque, NM 87113-1533
Phone (505) 828-4923

Other identifiers 4

IdentifierTypeStateIssuer
NM001H33OtherNMBC BS OF NM
P00343296OtherNMRRB MEDICARE RAILROAD
70308233MedicaidNM
115638MedicaidAZ

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
I20060714000087 NM Practitioner - Ophthalmology 9436195294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-0300
Phone (505) 892-3434

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone (505) 983-6613

5757 Harper Dr NE
Albuquerque, NM 87109-3566
Phone (505) 888-5757

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of New Mexico LTD Ophthalmology CurrentSince Aug 1, 2006 Accepting new patients
Eye Associates of New Mexico LTD Ophthalmology CurrentSince Aug 1, 2006 Accepting new patients
Eye Associates of New Mexico LTD Ophthalmology Past Accepting new patients
Eye Associates of New Mexico, LTD. Ophthalmology Past Accepting new patients
Pecos Valley Eye Surgery Center, LLC PastSince Feb 24, 2017 Accepting new patients

Locations

5200 Eubank Blvd NE
Ste A4
Albuquerque, NM 87111
Phone (505) 298-4419

5757 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 888-5757

8801 Horizon Blvd NE
Ste 360
Albuquerque, NM 87113
Phone (505) 246-2622

311 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-2268

1740 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-3434

1817 Wellspring Ave SE
Ste A
Rio Rancho, NM 87124
Phone (505) 892-3434

2947 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 474-9880

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kenneth.himmel.p1@direct.eyenm.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1972567154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE",
            "address_2": "SUITE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131533",
            "telephone_number": "505-828-4923",
            "fax_number": "505-213-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 HARPER DRIVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-888-5757",
            "fax_number": "505-889-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMEL",
        "first_name": "KENNETH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2006-0146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NM",
            "identifier": "NM001H33",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB MEDICARE RAILROAD",
            "identifier": "P00343296",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70308233",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115638",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.