JOHN M WILSON MD P C
NPI 1063639391
Health Maintenance Organization in Albuquerque, NM

NPI Status: Active since April 19, 2007

Contact Information

6100 SEAGULL ST NE
B-109
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 878-9000
Fax: (505) 878-8902

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About JOHN M WILSON MD P C

This page provides the complete NPI Profile along with additional information for John M Wilson Md P C, a provider established in Albuquerque, New Mexico operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1063639391 assigned on April 2007. The practitioner's primary taxonomy code is 302R00000X with license number 96-161 (NM). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. John M Wilson M.d. (Medical Doctor)

NPI
1063639391
Provider Name
JOHN M WILSON MD P C
Entity Type
Organization
Location Address
6100 SEAGULL ST NE B-109 ALBUQUERQUE, NM 87109
Location Phone
(505) 878-9000
Location Fax
(505) 878-8902
Mailing Address
6100 SEAGULL ST NE B-109 ALBUQUERQUE, NM 87109
Mailing Phone
(505) 878-9000
Mailing Fax
(505) 878-8902
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2007
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
96-161
License State
NM
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1305R00000XManaged Care Organizations

Preferred Provider Organization

96-161 (NM)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN M WILSON M.D.

Authorized Official Title
MEDICAL DOCTOR
Authorized Official Phone
(505) 878-9000

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063639391, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 2 + 3 + 1 + 8 + 3 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1063639391.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation (Sports Medicine)
6100 SEAGULL ST NE, SUITE 106
ALBUQUERQUE, NM 87109
Dietitian, Registered
6100 SEAGULL ST NE, SUITE B-102
ALBUQUERQUE, NM 87109
Physical Therapist
6100 SEAGULL ST NE, SUITE B-102
ALBUQUERQUE, NM 87109
Counselor (Addiction (Substance Use Disorder))
6100 SEAGULL ST NE, B-109
ALBUQUERQUE, NM 87109
Physical Therapist
6100 SEAGULL ST NE, B-102
ALBUQUERQUE, NM 87109
Physical Therapist
6100 SEAGULL ST NE, SUITE B-102
ALBUQUERQUE, NM 87109
Physical Therapist
6100 SEAGULL ST NE, SUITE B-102
ALBUQUERQUE, NM 87109
Behavior Technician
6100 SEAGULL ST NE, SUITE B200
ALBUQUERQUE, NM 87109
Counselor (Mental Health)
6100 SEAGULL ST NE
ALBUQUERQUE, NM 87109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063639391, enumerated as an "organization" on April 19, 2007.

The provider is located at 6100 SEAGULL ST NE B-109 ALBUQUERQUE, NM 87109 and the phone number is (505) 878-9000.

Health Maintenance Organization with taxonomy code 302R00000X.