TARA LYNN DUPONT M.D.
NPI 1104047265
Pediatrics - Neonatal-Perinatal Medicine in Albuquerque, NM
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.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tara Lynn Dupont M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tara Dupont reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
Monticello, UT 84535
- Reassigned Medicare billing, Utah enrollment
- 1,729 clinicians in this Medicare group
Riverton, UT 84065
- Reassigned Medicare billing, Utah enrollment
- 202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
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 enrollment system.
Which organizations bill Medicare for Tara Dupont's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Dupont reassigns Medicare benefits to 3 organizations: Unm Medical Group Inc (Albuquerque, NM), Ihc Health Services Inc (Monticello, UT) and University Of Utah Pediatric Acuity Care (Riverton, UT). Each 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 Tara Dupont's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Dupont accept?
Health plans from Molina Healthcare 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 5 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.
# Tara Lynn Dupont, M.D. · NPI 1104047265
Neonatal-Perinatal Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1104047265 (Entity type: Individual)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** MD2011-0413 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 2211 LOMAS BLVD NE, Albuquerque, NM 87106-2745
- **Phone:** (505) 272-5437
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM); Ihc Health Services Inc (NPI 1043444805, Monticello, UT); University Of Utah Pediatric Acuity Care (NPI 1376907410, Riverton, UT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104047265) · Data from the CMS NPPES public registry.