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SANTA FE PATHOLOGY SERVICES PA
NPI 1043308810
Pathology - Anatomic Pathology & Clinical Pathology in Santa Fe, NM

Active since October 10, 2006
455 SAINT MICHAELS DR, SANTA FE, NM 87505(505) 820-5302(505) 820-2461 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Santa Fe Pathology Services Pa NPPES

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

SANTA FE PATHOLOGY SERVICES PA (NPI 1043308810) is a healthcare organization registered as an anatomic pathology & clinical pathology in Santa Fe, New Mexico and active in the NPI registry since October 2006. The organization lists Timothy James Vanderjagt, President, as its authorized official.

NPPES Registry Identity

NPI1043308810
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSANTA FE PATHOLOGY SERVICES PA
Location Address455 SAINT MICHAELS DRSanta Fe, NM 87505-7601
Mailing AddressPo Box 421167Houston, TX 77242-1167 · (505) 477-6358 · Fax (505) 477-6363
Phone(505) 820-5302
Fax(505) 820-2461
Organization SubpartNo
Authorized OfficialTimothy James VanderjagtPresident · (505) 913-5293
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1043308810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 32D0667087 (NM)
455 SAINT MICHAELS DR, Santa Fe, NM 87505
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Other Identifiers 1

Medicaid00051984NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santa Fe Pathology Services Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Santa Fe Pathology Services PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Stephanie Rosen, MD
Pathology
NPI 1922191782
455 SAINT MICHAELS DR
Santa Fe, NM 87505
(505) 820-5703
✔ PECOS✔ Accepts MedicareSame address
Theresa Smith, MD
Pathology
NPI 1538459672
455 SAINT MICHAELS DR
Santa Fe, NM 87505
(505) 820-5202
✔ PECOS✔ Accepts MedicareSame address
Timothy Vanderjagt, M.D.
Pathology
NPI 1780876540
455 SAINT MICHAELS DR
Santa Fe, NM 87505
(505) 820-5274
✔ PECOS✔ Accepts MedicareSame address
Tesha Guillory, MD
Pathology
NPI 1356607998
2701 N DECATUR RD
Decatur, GA 30033
(404) 501-1000
✔ PECOS✔ Accepts Medicare1,237 mi

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 Santa Fe Pathology Services PA's NPI number?

The NPI number for Santa Fe Pathology Services PA is 1043308810. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Santa Fe Pathology Services PA located?

Santa Fe Pathology Services PA is located at 455 Saint Michaels Dr, Santa Fe, NM 87505. The listed phone number is (505) 820-5302.

What is Santa Fe Pathology Services PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Santa Fe Pathology Services PA enrolled in Medicare?

Yes. Santa Fe Pathology Services PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Fe Pathology Services PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Pathology, reassign their Medicare billing to Santa Fe Pathology Services PA. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Santa Fe Pathology Services PA was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.