SENIOR DOC NEW MEXICO PC
NPI 1073402947
Family Medicine in Albuquerque, NM

Active since July 02, 2025
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102(855) 434-7763 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Senior Doc New Mexico Pc NPPES

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

SENIOR DOC NEW MEXICO PC (NPI 1073402947) is a healthcare organization registered as a family medicine in Albuquerque, New Mexico and active in the NPI registry since July 2025. The organization lists John Mark Geiss, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073402947
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSENIOR DOC NEW MEXICO PC
Location Address500 MARQUETTE AVE NW STE 1200Albuquerque, NM 87102-5312
Mailing Address5 Hutton Centre Dr Ste 950Santa Ana, CA 92707-8714 · (855) 434-7763 · Fax (949) 281-5550
Organization SubpartNo
Authorized OfficialJohn Mark GeissCeo · (855) 434-7763
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1073402947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
500 MARQUETTE AVE NW STE 1200, Albuquerque, NM 87102

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)

Senior Doc New Mexico Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Senior Doc New Mexico PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Internal Medicine3
Neurology1

Clinicians, nearest first (11)

Internal Medicine
NPI 1558710517
1100 CENTRAL AVE SE
Albuquerque, NM 87106
(505) 724-6124
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1710668215
2911 JUNCTION ST
Durango, CO 81301
(970) 247-2215
✔ PECOS✔ Accepts Medicare167 mi
Nurse Practitioner
NPI 1982393716
1161 E COVINA BLVD
Covina, CA 91724
(504) 451-7842
✔ PECOS✔ Accepts Medicare643 mi
Internal Medicine
NPI 1932337136
2592 N SANTIAGO BLVD
Orange, CA 92867
(855) 434-7763
✔ PECOS✔ Accepts Medicare644 mi
Nurse Practitioner
NPI 1306340831
151 N KRAEMER BLVD STE 100
Placentia, CA 92870
(949) 209-1563
✔ PECOS✔ Accepts Medicare645 mi
Nurse Practitioner
NPI 1942353107
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
(855) 434-7763
✔ PECOS646 mi
Internal Medicine
NPI 1275161184
520 N MAIN ST
Santa Ana, CA 92701
(714) 502-3553
✔ PECOS✔ Accepts Medicare647 mi
Nurse Practitioner
NPI 1528890472
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
(855) 434-7763
✔ PECOS✔ Accepts Medicare647 mi
Nurse Practitioner
NPI 1871185686
219 1/2 MARGUERITE AVE
Corona Del Mar, CA 92625
(949) 209-1563
✔ PECOS✔ Accepts Medicare649 mi
Neurology
NPI 1447612940
505 PARNASSUS AVE
San Francisco, CA 94143
(818) 648-6941
✔ PECOS✔ Accepts Medicare899 mi
Nurse Practitioner
NPI 1326728668
1710 PATTERSON ST
Nashville, TN 37203
(615) 327-1085
✔ PECOS✔ Accepts Medicare1,118 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 Senior Doc New Mexico PC's NPI number?

The NPI number for Senior Doc New Mexico PC is 1073402947. It was assigned to this organization in the NPPES registry on July 2, 2025.

Where is Senior Doc New Mexico PC located?

Senior Doc New Mexico PC is located at 500 Marquette Ave NW Ste 1200, Albuquerque, NM 87102. The listed phone number is (855) 434-7763.

What is Senior Doc New Mexico PC's specialty?

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

Is Senior Doc New Mexico PC enrolled in Medicare?

Yes. Senior Doc New Mexico PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Senior Doc New Mexico PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Senior Doc New Mexico PC. 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 Nurse Practitioner (7), Internal Medicine (3) and Neurology (1). Of these, 1 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 Senior Doc New Mexico PC was last updated on July 2, 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.