CONSUELO CARMONA MD
NPI 1093889537
Obstetrics & Gynecology in Albuquerque, NM

Q: What is Consuelo Carmona's NPI number?

The NPI number for Consuelo Carmona is 1093889537. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Consuelo Carmona's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Consuelo Carmona was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment

1001 COAL AVE SE, ALBUQUERQUE, NM 87106(505) 843-6168(505) 247-9743 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, Dec 31, 2025, Jul 21, 2020 and 2 more (5 updates tracked since 2018).

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About Consuelo Carmona Md NPPES

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

CONSUELO CARMONA MD (NPI 1093889537) is an individual obstetrics & gynecology provider in Albuquerque, New Mexico, licensed in New Mexico (87-319) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1984).

NPPES Registry Identity

NPI1093889537

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameCONSUELO CARMONACredential: MD

Location Address1001 COAL AVE SEAlbuquerque, NM 87106-5205

Mailing Address6320 Riverside Plaza Ln Nw Ste BAlbuquerque, NM 87120-1710 · (505) 843-6168

Phone(505) 843-6168

Fax(505) 247-9743

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1984

Enumeration DateNovember 17, 2006

Last NPPES UpdateJanuary 7, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1093889537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NM · 87-319

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1001 COAL AVE SE, Albuquerque, NM 87106

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Other Identifiers 1

Medicaid08813NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Consuelo Carmona Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759462617

PECOS Enrollment IDI20110407000030

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

23 services23 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUJATA MULEKAR CHOUINARD MD

Obstetrics & Gynecology