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MARIA HAMILTON M.D.
NPI 1013207752
Pediatrics in Albuquerque, NM

Active since April 14, 2011PECOS Enrolled
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113(505) 298-2505 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Sep 28, 2015 (2 updates tracked since 2015).

About Maria Hamilton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA HAMILTON M.D. (NPI 1013207752) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (MD2014-0116) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013207752
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARIA HAMILTONCredential: M.D.
Location Address5904 HOLLY AVE NEAlbuquerque, NM 87113-2472
Mailing Address5904 Holly Ave NeAlbuquerque, NM 87113-2472 · (505) 298-2505
Phone(505) 298-2505
Sole ProprietorNo
Enumeration DateApril 14, 2011
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1013207752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · MD2014-0116
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5904 HOLLY AVE NE, Albuquerque, NM 87113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Hamilton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ROSE ARAGON PA-C
Physician Assistant
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
JENNIFER MACK
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
DR. WILLIAM B HAWK M.D.
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
CARMELA BRIENZA MSN/CPNP
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
VANESSA SENA CPNP-PC
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
DR. KRISTIN MEREDICK M.D./M.B.A
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
ALAINA GEORGE MD
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
DR. TESS PEI LEMON MD
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Hamilton's NPI number?

The NPI number for Maria Hamilton is 1013207752. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Maria Hamilton located?

Maria Hamilton practices at 5904 Holly Ave NE, Albuquerque, NM 87113. The listed phone number is (505) 298-2505.

What is Maria Hamilton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maria Hamilton enrolled in Medicare?

Yes. Maria Hamilton is registered in the Medicare PECOS enrollment system.

What insurance does Maria Hamilton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Maria Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Hamilton was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.