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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: September 13, 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
Phone(505) 777-3001
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
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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

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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HERO VISION OF WEST ALBUQUERQUE
Optometrist
4208 CENTRAL AVE SW STE G
ALBUQUERQUE, NM 87105
Bernalillo County (719) 576-1850
MR. ERSAN EROL PA
Physician Assistant
4208 CENTRAL AVE SW STE G
ALBUQUERQUE, NM 87105
Bernalillo County (505) 777-3001
HERO DENTAL OF WEST ALBUQUERQUE PC
Dentist
4208 CENTRAL AVE SW STE G
ALBUQUERQUE, NM 87105
Bernalillo County (719) 576-1850
MRS. ANITA VELASCO ACNP
Nurse Practitioner (Acute Care)
4208 CENTRAL AVE SW STE G
ALBUQUERQUE, NM 87105
Bernalillo County (505) 777-3001

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.

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 11 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.