Susan D Roberts
DAVITA MEDICAL GROUP NEW MEXICO, LLC


Address: 13701 Encantado Rd Ne, Albuquerque, NM 87123-2275
Phone: 5052378700

Susan D Roberts (NPI# 1437158896, PAC ID# 2062540370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1437158896
PAC ID by PECOS 2062540370
Professional Enrollment ID I20130620000397
Full Name Susan D Roberts
Organization Legal Name DAVITA MEDICAL GROUP NEW MEXICO, LLC
Address 13701 Encantado Rd Ne
Albuquerque
NM 87123-2275
Phone Number 5052378700
Gender F
Medical School COLLEGE OF OSTEO OF THE PACIFIC
Graduation Year 1994
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 9032125810
Number of Group Practice Members 142
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
320017 LOVELACE WOMEN'S HOSPITAL

Other Locations

Address Phone Organization
13701 Encantado Rd Ne, Albuquerque, NM 87123-2275 5052378700 DAVITA MEDICAL GROUP NEW MEXICO, LLC

Organization Information

Organization Legal Name DAVITA MEDICAL GROUP NEW MEXICO, LLC
Physicians 180

Physicians with the same organization

Name Specialty Organization Address
Michael A Bergeron Family Medicine Davita Medical Group New Mexico, LLC 4010 Montgomery Blvd Ne, Albuquerque, NM 87109-1186
Theresa Toomey Nurse Practitioner Davita Medical Group New Mexico, LLC 2929 Coors Blvd Nw, Albuquerque, NM 87120-1173
Baudilio J Velez Nurse Practitioner Davita Medical Group New Mexico, LLC 5150 Journal Ctr Blvd Ne, Fl 3, Albuquerque, NM 87109-5900
Nicole Ann Badillo Nurse Practitioner Davita Medical Group New Mexico, LLC 2901 Transport St Se, Albuquerque, NM 87106-4382
Elea Ann Martinez Nurse Practitioner Davita Medical Group New Mexico, LLC 4333 Pan American Fwy Ne, Suite C, Albuquerque, NM 87107-6833
Ryan P Tyner General Surgery Davita Medical Group New Mexico, LLC 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729
Fabio Spadaro Family Medicine Davita Medical Group New Mexico, LLC 1721 Rio Rancho Dr Nw, Albuquerque, NM 87105-5904
Patricia A Carabajal Family Medicine Davita Medical Group New Mexico, LLC 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307
Henry Anthony Garcia Family Medicine Davita Medical Group New Mexico, LLC 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405
Edna L Lopez Nurse Practitioner Davita Medical Group New Mexico, LLC 4700 Jefferson St Ne, Suite 800, Albuquerque, NM 87109-2132

Office Location

Street Address 13701 ENCANTADO RD NE
City ALBUQUERQUE
State NM
Zip 87123-2275

Physicians in the same location

Name Specialty Organization Address
Uchenna Maria Ohiri Nurse Practitioner Davita Medical Group New Mexico, LLC 13701 Encantado Rd Ne, Albuquerque, NM 87123-2275
Keith A Steichen Family Medicine Davita Medical Group New Mexico, LLC 13701 Encantado Rd Ne, Albuquerque, NM 87123-2275

Physicians in the same zip code

Name Specialty Organization Address
James Curry Clinical Social Worker 13701 Skyline Rd Ne, Suite A, Albuquerque, NM 87123-2327

Competitor

Search similar physicians

City ALBUQUERQUE
Zip Code 87123
Specialty FAMILY MEDICINE
City + Specialty ALBUQUERQUE + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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