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MARTIN LEE TAYLOR PA-C
NPI 1093740078
Physician Assistant - Surgical in Rio Rancho, NM

Active since July 11, 2006PECOS Enrolled
914 PINEHURST ROAD SE, SUITE 102, RIO RANCHO, NM 87124(505) 896-9412(505) 896-2505 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martin Lee Taylor Pa-c NPPES

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

MARTIN LEE TAYLOR PA-C (NPI 1093740078) is an individual surgical provider in Rio Rancho, New Mexico, licensed in New Mexico (PA2003-002) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093740078
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARTIN LEE TAYLORCredential: PA-C
Location Address914 PINEHURST ROAD SE, SUITE 102Rio Rancho, NM 87124-2219
Mailing Address914 Pinehurst Road Se, Suite 102Rio Rancho, NM 87124-2219 · (505) 896-9412 · Fax (505) 896-2505
Phone(505) 896-9412
Fax(505) 896-2505
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 12, 2014
✔ NPI 1093740078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NM · PA2003-002
914 PINEHURST ROAD SE, Rio Rancho, NM 87124
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Other Identifiers 4

Medicaid10752871NM
Medicare PINQ02856NM
Medicare UPINQ02856
Medicare PIN343402201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin Lee Taylor Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Martin Taylor's NPI number?

The NPI number for Martin Taylor is 1093740078. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Martin Taylor located?

Martin Taylor practices at 914 Pinehurst Road SE Suite 102, Rio Rancho, NM 87124. The listed phone number is (505) 896-9412.

What is Martin Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Martin Taylor enrolled in Medicare?

Yes. Martin Taylor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Martin Taylor was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.