Individual provider Active NPI

Christopher Steven Myers, DO

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1982014718
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-2090-17 Issued in NM
Practice address
2509 Virginia St NE Ste B
Albuquerque, NM 87110-4695
Phone
(505) 318-0717
Fax
(505) 349-0803
NPI assigned
May 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 A-2090-17 NM Primary

Addresses

Primary practice location

2509 Virginia St NE Ste B
Albuquerque, NM 87110-4695

Mailing address

2509 Virginia St NE Ste B
Albuquerque, NM 87110-4695
Phone (505) 318-0717

Other identifiers 1

IdentifierTypeStateIssuer
90379519MedicaidNM

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
I20171011001345 NM Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5092094086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2509 Virginia St NE
Suite B
Albuquerque, NM 87110-4695
Phone (505) 459-7637

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-2090-17NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Wolf Healthcare LLC CurrentSince Nov 13, 2024 Accepting new patients

Locations

2509 Virginia St NE
Ste B
Albuquerque, NM 87110
Phone (505) 294-1471

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1982014718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 VIRGINIA ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104695",
            "telephone_number": "505-318-0717",
            "fax_number": "505-349-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 VIRGINIA ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104695",
            "telephone_number": "505-318-0717",
            "fax_number": "505-349-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "STEVEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-2090-17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90379519",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.