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CORRALES FAMILY PRACTICE LLC
NPI 1043401508
Family Medicine in Corrales, NM

Active since August 08, 2007CLIA 32D1006990 · Microscopy
3841 CORRALES RD, CORRALES, NM 87048(505) 792-3065(505) 792-4004 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Corrales Family Practice Llc NPPES

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

CORRALES FAMILY PRACTICE LLC (NPI 1043401508) is a healthcare organization registered as a family medicine in Corrales, New Mexico and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through June 18, 2027 and lists Alyson P Thal, Owner, as its authorized official.

NPPES Registry Identity

NPI1043401508
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORRALES FAMILY PRACTICE LLC
Location Address3841 CORRALES RDCorrales, NM 87048-9311
Mailing Address3841 Corrales RdCorrales, NM 87048-9311 · (505) 792-3065 · Fax (505) 792-4004
Phone(505) 792-3065
Fax(505) 792-4004
Organization SubpartNo
Authorized OfficialAlyson P ThalOwner · (505) 792-3065
Enumeration DateAugust 8, 2007
Last NPPES UpdateJune 12, 2008
✔ NPI 1043401508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 86346
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3841 CORRALES RD, Corrales, NM 87048
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Other Identifiers 2

Medicaid34224801NM
Medicare PIN314224801NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Corrales Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Corrales Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alyson Thal, M.D.
Family Practice
NPI 1316050560
3841 CORRALES RD
Corrales, NM 87048
(505) 792-3065
✔ PECOS✔ Accepts Medicare0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D1006990

Corrales Family Practice LLC · Corrales, NM
Active · expires Jun 18, 2027
CLIA Number32D1006990
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorAlyson P. Thal MD
Laboratory Phone(505) 792-3065
Laboratory LocationCorrales Family Practice LLC3841 Corrales Road NW, Corrales, NM 87048
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Corrales Family Practice LLC's NPI number?

The NPI number for Corrales Family Practice LLC is 1043401508. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Corrales Family Practice LLC located?

Corrales Family Practice LLC is located at 3841 Corrales Rd, Corrales, NM 87048. The listed phone number is (505) 792-3065.

What is Corrales Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Corrales Family Practice LLC enrolled in Medicare?

Yes. Corrales Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Corrales Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Corrales Family Practice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Corrales Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D1006990) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Corrales Family Practice LLC was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.