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FEP WEST LLC
NPI 1023903499
Emergency Medicine in Gallup, NM

Active since June 09, 2025
1901 RED ROCK DR, GALLUP, NM 87301(505) 863-7000 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fep West Llc NPPES

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

FEP WEST LLC (NPI 1023903499) is a healthcare organization registered as an emergency medicine in Gallup, New Mexico and active in the NPI registry since June 2025. The organization lists Martin Fedko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023903499
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameFEP WEST LLC
Location Address1901 RED ROCK DRGallup, NM 87301-5683
Mailing Address22029 N 51st StPhoenix, AZ 85054-7143 · (605) 759-7785
Phone(505) 863-7000
Organization SubpartNo
Authorized OfficialMartin FedkoCeo · (847) 571-2467
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1023903499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1901 RED ROCK DR, Gallup, NM 87301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fep West Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

37

Medicare enrollment records show 37 clinicians reassign Medicare billing to Fep West LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine16
Family Practice9
Nurse Practitioner7
Internal Medicine5

Nearest to this location (20)

See all 37
Carissa Solari
Emergency Medicine
NPI 1447748439
516 E NIZHONI BLVD
Gallup, NM 87301
(505) 722-1000
✔ PECOS✔ Accepts Medicare0.2 mi
Esperanza Sanchez, MD
Emergency Medicine
NPI 1528004736
516 E. NIZHONI BLVD.
Gallup, NM 87301
(505) 722-1000
✔ PECOS0.2 mi
Grant Chanin, CNP
Nurse Practitioner
NPI 1225488018
1100 CENTRAL AVE SE
Albuquerque, NM 87106
(505) 841-1125
✔ PECOS✔ Accepts Medicare122 mi
Aleksandr Tsigelnitskiy
Nurse Practitioner
NPI 1518264308
4701 MONTGOMERY BLVD NE
Albuquerque, NM 87109
(505) 727-8360
✔ PECOS✔ Accepts Medicare123 mi
Spencer Anderson, M.D.
Emergency Medicine
NPI 1720252158
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 774-1693
✔ PECOS✔ Accepts Medicare166 mi
Charles Bibby, M.D.
Emergency Medicine
NPI 1174571517
180 CREST DR
Cimarron, CO 81220
(970) 314-1303
✔ PECOS✔ Accepts Medicare211 mi
Timothy Overton, MD
Family Practice
NPI 1134626070
117 CAMINO DE VIDA STE 300
Santa Rosa, NM 88435
(575) 472-4311
✔ PECOS✔ Accepts Medicare232 mi
Victor Rodrigues, M.D.
Emergency Medicine
NPI 1619007689
125 EL PASO RD
Ruidoso, NM 88345
(575) 630-4230
✔ PECOS✔ Accepts Medicare232 mi
Jacquelyn Pearlmutter, DO
Emergency Medicine
NPI 1295425395
2601 E ROOSEVELT ST
Phoenix, AZ 85008
(602) 344-5011
✔ PECOS✔ Accepts Medicare235 mi
Robert Gear, D.O.
Family Practice
NPI 1659363513
3543 N 7TH ST
Phoenix, AZ 85014
(602) 263-8484
✔ PECOS✔ Accepts Medicare236 mi
Kenneth Kelly
Internal Medicine
NPI 1740255942
2669 SCENIC DR
Alamogordo, NM 88310
(575) 439-6100
✔ PECOS✔ Accepts Medicare240 mi
Joseph Feagan, D.O.
Family Practice
NPI 1457381394
1135 S MAIN ST SUITE B
Las Cruces, NM 88005
(575) 525-4000
✔ PECOS✔ Accepts Medicare248 mi
Sabrina Lucero-Jackson, NP
Nurse Practitioner
NPI 1770039646
8263 E PIMA ST
Tucson, AZ 85715
(520) 730-6411
✔ PECOS✔ Accepts Medicare255 mi
Michael Mclaughlin, M.D.
Emergency Medicine
NPI 1124448683
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
(520) 263-2000
✔ PECOS✔ Accepts Medicare286 mi
Moses Benavides, M.D.
Family Practice
NPI 1326332768
HIGHWAY 68 AT TOPAWA ROAD
Sells, AZ 85634
(520) 383-7251
✔ PECOS✔ Accepts Medicare307 mi
Carolyn Vavrecan, FNP
Nurse Practitioner
NPI 1174953947
1521 W 13TH ST
Clovis, NM 88101
(575) 769-0888
✔ PECOS✔ Accepts Medicare321 mi
Kevin Hill, MD
Family Practice
NPI 1588244461
1960 N OGDEN ST STE 460
Denver, CO 80218
(303) 318-2500
✔ PECOS✔ Accepts Medicare358 mi
Teresa Braden, D.O.
Internal Medicine
NPI 1073522595
445 HILLTOP STREET
Elkhart, KS 67950
(620) 697-2141
✔ PECOS✔ Accepts Medicare395 mi
Patrick Booth, MD
Internal Medicine
NPI 1447286539
200 CORPORATE BLVD SUITE 201
Lafayette, LA 70508
(800) 893-9698
✔ PECOS✔ Accepts Medicare1,038 mi
Mark Stefanelli, M.D.
Internal Medicine
NPI 1366486912
2647 GRAND AVE
Astoria, OR 97103
(503) 739-6164
✔ PECOS✔ Accepts Medicare1,077 mi
See all 37 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fep West LLC's NPI number?

The NPI number for Fep West LLC is 1023903499. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Fep West LLC located?

Fep West LLC is located at 1901 Red Rock Dr, Gallup, NM 87301. The listed phone number is (505) 863-7000.

What is Fep West LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Fep West LLC enrolled in Medicare?

Yes. Fep West LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fep West LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 4 Medicare specialties reassign their Medicare billing to Fep West LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (16), Family Practice (9) and Nurse Practitioner (7). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fep West LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.