TARA LYNN DUPONT M.D.
NPI 1104047265
Pediatrics - Neonatal-Perinatal Medicine in Albuquerque, NM

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-5437 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Lynn Dupont M.d. NPPES

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

TARA LYNN DUPONT M.D. (NPI 1104047265) is an individual neonatal-perinatal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2011-0413) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2011).

NPPES Registry Identity

NPI1104047265
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameTARA LYNN DUPONTCredential: M.D.
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2745
Mailing Address933 Bradbury Dr Se, Suite 2222Albuquerque, NM 87106-4374 · (505) 272-3120 · Fax (505) 272-8060
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2011
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
NPI 1104047265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in NM · MD2011-0413 Licensed in TX · M8636
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2211 LOMAS BLVD NE, Albuquerque, NM 87106

Other Names 1

Former Name (1)Tara Lynn Sullivan M.d.

Accepted 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

Tara Lynn Dupont M.d. 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 ID2567634637
PECOS Enrollment IDI20190204003063
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Tara Dupont's NPI number?

The NPI number for Tara Dupont is 1104047265. It was assigned to this individual provider in the NPPES registry on May 2, 2007. The provider is also known as Tara Lynn Sullivan M.D..

Where is Tara Dupont located?

Tara Dupont practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-5437.

What is Tara Dupont's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Tara Dupont enrolled in Medicare?

Yes. Tara Dupont is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tara Dupont accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Tara Dupont as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Dupont was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.