OAK STREET HEALTH PHYSICIANS GROUP OF NEW MEXICO LLC
NPI 1134793151
Clinic/Center - Primary Care in Albuquerque, NM

Active since May 14, 2021CLIA Certified · 4 labs
4208 CENTRAL AVE SW STE G, ALBUQUERQUE, NM 87105(505) 777-3001(505) 808-4977 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2021, Aug 13, 2021, Jul 8, 2021 and 1 more (4 updates tracked since 2021).

About Oak Street Health Physicians Group Of New Mexico Llc NPPES

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

OAK STREET HEALTH PHYSICIANS GROUP OF NEW MEXICO LLC (NPI 1134793151) is a healthcare organization registered as a primary care in Albuquerque, New Mexico and active in the NPI registry since May 2021. The organization holds 4 active CLIA laboratory certificates and lists Terrance Morton, Cmo, as its authorized official.

NPPES Registry Identity

NPI1134793151
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOAK STREET HEALTH PHYSICIANS GROUP OF NEW MEXICO LLC
Location Address4208 CENTRAL AVE SW STE GAlbuquerque, NM 87105-1695
Mailing AddressPo Box 740018Atlanta, GA 30374-0018 · (773) 352-1515 · Fax (312) 929-0373
Fax(505) 808-4977
Organization SubpartNo
Authorized OfficialTerrance MortonCmo · (704) 607-4835
Enumeration DateMay 14, 2021
Last NPPES UpdateOctober 13, 20254 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1134793151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4208 CENTRAL AVE SW STE G, Albuquerque, NM 87105

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oak Street Health Physicians Group Of New Mexico Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Oak Street Health Physicians Group Of New Mexico LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner22
Family Practice7
Clinical Social Worker3
General Practice1
Internal Medicine1
Mental Health Counselor1
Osteopathic Manipulative Medicine1

Nearest to this location (20)

See all 36
Family Practice
NPI 1245597970
4208 CENTRAL AVE SW
Albuquerque, NM 87105
(505) 777-3001
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932315975
4208 CENTRAL AVE SW
Albuquerque, NM 87105
(505) 777-3001
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932430501
4208 CENTRAL AVE SW STE G
Albuquerque, NM 87105
(505) 777-3001
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1801255898
1217 1ST ST NW
Albuquerque, NM 87102
(505) 766-5197
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1851752497
801 ENCINO PLACE NE SUITE A6
Albuquerque, NM 87102
(575) 636-3594
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1487506747
1625 RIO BRAVO BLVD SW
Albuquerque, NM 87105
(505) 226-0153
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1083820120
1625 RIO BRAVO BLVD SW STE 36
Albuquerque, NM 87105
(505) 777-3004
✔ PECOS✔ Accepts Medicare3.9 mi
Mental Health Counselor
NPI 1346757622
1625 RIO BRAVO BLVD SW STE 36
Albuquerque, NM 87105
(505) 777-3004
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1023672565
1625 RIO BRAVO BLVD SW STE 36
Albuquerque, NM 87105
(505) 777-3004
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1164206579
1625 RIO BRAVO BLVD SW STE 36
Albuquerque, NM 87105
(575) 359-7375
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1609364934
1625 RIO BRAVO BLVD SW STE 36
Albuquerque, NM 87105
(505) 777-3004
✔ PECOS✔ Accepts Medicare4.0 mi
Internal Medicine
NPI 1184866402
333 MONTANO RD NW STE A1
Albuquerque, NM 87107
(505) 777-3003
✔ PECOS✔ Accepts Medicare4.5 mi
Clinical Social Worker
NPI 1710210760
333 MONTANO RD NW STE A1
Albuquerque, NM 87107
(505) 777-3003
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1831753508
333 MONTANO RD NW STE A1
Albuquerque, NM 87107
(505) 777-3003
✔ PECOS✔ Accepts Medicare4.6 mi
General Practice
NPI 1851317192
333 MONTANO RD NW STE A1
Albuquerque, NM 87107
(505) 777-3003
✔ PECOS✔ Accepts Medicare4.6 mi
Family Practice
NPI 1104814607
333 MONTANO RD NW STE A1
Albuquerque, NM 87107
(505) 777-3003
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1497290720
333 MONTANO RD NW STE A1
Albuquerque, NM 87107
(505) 777-3003
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1255415451
5555 ZUNI RD SE STE 11
Albuquerque, NM 87108
(505) 777-3002
✔ PECOS✔ Accepts Medicare5.8 mi
Clinical Social Worker
NPI 1336653906
5555 ZUNI RD SE STE 11
Albuquerque, NM 87108
(505) 777-3002
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1326415365
2400 UNSER BLVD SE
Rio Rancho, NM 87124
(505) 253-7878
✔ PECOS✔ Accepts Medicare9.3 mi
See all 36 clinicians

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 4

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 of Waiver 32D2228150

Oak Street Health · Albuquerque, NM
Active · expires Jun 22, 2027
CLIA Number32D2228150
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorJohn Schumann
Laboratory Phone(844) 808-8262
Laboratory LocationOak Street Health4208 Central Ave SW, Suite G, Albuquerque, NM 87105
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2232678

Oak Street Health · Albuquerque, NM
Active · expires Aug 16, 2027
CLIA Number32D2232678
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorJohn Schumann
Laboratory Phone(844) 808-8262
Laboratory LocationOak Street Health1625 Rio Bravo Blvd SE, Suite 36, Albuquerque, NM 87105
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2232283

Oak Street Health · Albuquerque, NM
Active · expires Aug 10, 2027
CLIA Number32D2232283
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorJohn Schumann
Laboratory Phone(844) 808-8262
Laboratory LocationOak Street Health5555 Zuni Rd SE Suite 11, Albuquerque, NM 87108
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2228153

Oak Street Health · Albuquerque, NM
Active · expires Jun 22, 2027
CLIA Number32D2228153
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorJohn Schumann
Laboratory Phone(844) 808-8262
Laboratory LocationOak Street Health333 Montano Rd NW Suite A1, Albuquerque, NM 87107
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Oak Street Health Physicians Group Of New Mexico LLC's NPI number?

The NPI number for Oak Street Health Physicians Group Of New Mexico LLC is 1134793151. It was assigned to this organization in the NPPES registry on May 14, 2021.

Where is Oak Street Health Physicians Group Of New Mexico LLC located?

Oak Street Health Physicians Group Of New Mexico LLC is located at 4208 Central Ave SW Ste G, Albuquerque, NM 87105. The listed phone number is (505) 777-3001.

What is Oak Street Health Physicians Group Of New Mexico LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Oak Street Health Physicians Group Of New Mexico LLC enrolled in Medicare?

Yes. Oak Street Health Physicians Group Of New Mexico LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oak Street Health Physicians Group Of New Mexico LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 7 Medicare specialties reassign their Medicare billing to Oak Street Health Physicians Group Of New Mexico LLC. 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 (22), Family Practice (7) and Clinical Social Worker (3). Of these, 2 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oak Street Health Physicians Group Of New Mexico LLC hold CLIA laboratory certificates?

Yes. 4 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.

When was this NPI record last updated?

The NPPES record for Oak Street Health Physicians Group Of New Mexico LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.