PRESBYTERIAN MEDICAL GROUP
NPI 1104802354
Internal Medicine in Albuquerque, NM

Active since December 20, 2005CLIA Certified · 6 labs
5901 HARPER DR NE, ALBUQUERQUE, NM 87109(505) 823-8556(505) 823-8555 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1104802354
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRESBYTERIAN HEALTHCARE SERVICES
Location Address5901 HARPER DR NEAlbuquerque, NM 87109-3587
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Fax(505) 823-8555
Organization SubpartNo
Authorized OfficialClay HoldermanCoo/cds · (505) 724-7283
Enumeration DateDecember 20, 2005
Last NPPES UpdateAugust 30, 2012
NPI 1104802354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
5901 HARPER DR NE, Albuquerque, NM 87109

Other Names 1

Doing Business AsPresbyterian Medical Group

Other Identifiers 1

Medicare PIN=========CNM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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, NM
Active · expires Dec 31, 2026
CLIA Number32D0913830
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDr. William H. Brady
Laboratory Phone(505) 823-8450
Laboratory LocationPresbyterian Medical Group Northside5901 Harper Drive NE, Albuquerque, NM 87109
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 32D2075694

Presbyterian Medical Group Behavioral Health · Albuquerque, NM
Active · expires Apr 1, 2028
CLIA Number32D2075694
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorDr. Daniel Duhigg
Laboratory Phone(505) 291-5300
Laboratory LocationPresbyterian Medical Group Behavioral Health8312 Kaseman Ct NE, Albuquerque, NM 87110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D1048975

Presbyterian Medical Group Northside Obgyn · Albuquerque, NM
Active · expires Dec 15, 2027
CLIA Number32D1048975
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorJanelle Montoya
Laboratory Phone(505) 823-8917
Laboratory LocationPresbyterian Medical Group Northside Obgyn6100 Pan American Freeway NE Suite 450, Albuquerque, NM 87109
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 32D1077117

Presbyterian Medical Group Pediatric Multispecialty · Albuquerque, NM
Active · expires Dec 2, 2027
CLIA Number32D1077117
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorJames Reese
Laboratory Phone(505) 563-6530
Laboratory LocationPresbyterian Medical Group Pediatric Multispecialty201 Cedar SE Suite 4660 & 5640 Attn Jenine Ortiz, Albuquerque, NM 87106
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2273108

Presbyterian Medical Group Medicare Advantage Clinic · Albuquerque, NM
Active · expires Dec 6, 2026
CLIA Number32D2273108
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorDion Gallant
Laboratory Phone(505) 559-1949
Laboratory LocationPresbyterian Medical Group Medicare Advantage Clinic2100 Louisiana NE Suite 456, Albuquerque, NM 87110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0534674

Presbyterian Medical Group Cedar Ob/Gyn · Albuquerque, NM
Active · expires Aug 30, 2026
CLIA Number32D0534674
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorKelly Drescher
Laboratory Phone(505) 563-6000
Laboratory LocationPresbyterian Medical Group Cedar Ob/Gyn201 Cedar St SE Suite 5600, Albuquerque, NM 87106
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Specialist
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Physician Assistant
5901 HARPER DR NE
ALBUQUERQUE, NM 87109

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 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.

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 Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and 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 13 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.