PRESBYTERIAN MEDICAL GROUP
NPI 1104802354
Internal Medicine in Albuquerque, NM
About Presbyterian Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRESBYTERIAN MEDICAL GROUP (NPI 1104802354) is a healthcare organization registered as an internal medicine in Albuquerque, New Mexico and active in the NPI registry since December 2005. The organization holds 6 active CLIA laboratory certificates and lists Clay Holderman, Coo/cds, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 13
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Presbyterian Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,315Medicare enrollment records show 2,315 clinicians reassign Medicare billing to Presbyterian Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 1,101 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 62
Nearest to this location (20)
See all 2,315Albuquerque, NM 87109
Albuquerque, NM 87109
Albuquerque, NM 87109
Albuquerque, NM 87109
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 6
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0913830
Presbyterian Medical Group Northside · Albuquerque, NMCertificate for Provider-Performed Microscopy Procedures (PPMP) 32D0534674
Presbyterian Medical Group Cedar Ob/Gyn · Albuquerque, NMCertificate of Waiver 32D2075694
Presbyterian Medical Group Behavioral Health · Albuquerque, NMCertificate for Provider-Performed Microscopy Procedures (PPMP) 32D1048975
Presbyterian Medical Group Northside Obgyn · Albuquerque, NMCertificate of Waiver 32D1077117
Presbyterian Medical Group Pediatric Multispecialty · Albuquerque, NMCertificate of Waiver 32D2273108
Presbyterian Medical Group Medicare Advantage Clinic · Albuquerque, NMFrequently 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 Presbyterian Healthcare Services's NPI number?
The NPI number for Presbyterian Healthcare Services is 1104802354. It was assigned to this organization in the NPPES registry on December 20, 2005. The provider is doing business as Presbyterian Medical Group.
Where is Presbyterian Healthcare Services located?
Presbyterian Healthcare Services is located at 5901 Harper Dr NE, Albuquerque, NM 87109. The listed phone number is (505) 823-8556.
What is Presbyterian Healthcare Services's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Presbyterian Healthcare Services enrolled in Medicare?
Yes. Presbyterian Healthcare Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Presbyterian Healthcare Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,315 clinicians in 62 Medicare specialties reassign their Medicare billing to Presbyterian Healthcare Services. 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 (458), Internal Medicine (283) and Emergency Medicine (274). Of these, 2 practice at this address and 1,101 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Presbyterian Healthcare Services hold CLIA laboratory certificates?
Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Presbyterian Healthcare Services accept?
Health plans from UnitedHealthcare list Presbyterian Healthcare Services 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 Presbyterian Healthcare Services was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Presbyterian Medical Group · NPI 1104802354
Internal Medicine organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since December 20, 2005.
## Identity
- **NPI:** 1104802354 (Entity type: Organization)
- **Enumerated:** December 20, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Presbyterian Healthcare Services
- **Organization subpart:** No
- **Authorized official:** Clay Holderman, COO/CDS
## Practice location
- **Address:** 5901 HARPER DR NE, Albuquerque, NM 87109-3587
- **Phone:** (505) 823-8556 · **Fax:** (505) 823-8555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,315 clinicians in 62 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (458), Internal Medicine (283), Emergency Medicine (274); 2 practice at this address and 1,101 within 10 miles; [full list](https://npiprofile.com/npi/1104802354/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2012
- **Other identifiers:** Medicare PIN =========C (NM)
- **CLIA laboratory certificates:** 6 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104802354) · Data from the CMS NPPES public registry.