CAROLINE KINGSTON MD MPH FAMILY PRECTICE LLC
NPI 1194966747
Clinic/Center in Santa Fe, NM

Q: What is Caroline Kingston MD Mph Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 11, 2009CLIA 32D2009192 · Microscopy

460 SAINT MICHAELS DR, 1204, SANTA FE, NM 87505(505) 820-2562(505) 986-0904 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Caroline Kingston Md Mph Family Prectice Llc NPPES

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

CAROLINE KINGSTON MD MPH FAMILY PRECTICE LLC (NPI 1194966747) is a healthcare organization registered as a clinic/center in Santa Fe, New Mexico and active in the NPI registry since March 2009. The organization holds a CLIA Microscopy certificate valid through June 27, 2028 and lists Caroline Kingston, Dr., as its authorized official.

NPPES Registry Identity

NPI1194966747

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCAROLINE KINGSTON MD MPH FAMILY PRACTICE LLC

Location Address460 SAINT MICHAELS DR, 1204Santa Fe, NM 87505-7619

Mailing Address460 Saint Michaels Dr, 1204Santa Fe, NM 87505-7619 · (505) 820-2562 · Fax (505) 986-0904

Phone(505) 820-2562

Fax(505) 986-0904

Organization SubpartNo

Authorized OfficialCaroline KingstonDr. · (505) 820-2562

Enumeration DateMarch 11, 2009

Last NPPES UpdateDecember 23, 2009

✔ NPI 1194966747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in NM · 97-89

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

460 SAINT MICHAELS DR, Santa Fe, NM 87505

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Other Names 1

Doing Business AsCaroline Kingston Md Mph Family Prectice Llc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Kingston Md Mph Family Prectice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew MexicoEnrollment IDO20091231000113Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Caroline Kingston MD Mph Family Prectice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Caroline Kingston, MD

Family Practice

NPI 1750489811

460 SAINT MICHAELS DR SUITE 1104
Santa Fe, NM 87505

(505) 820-2562

✔ PECOS✔ Accepts MedicareSame address

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

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) 32D2009192

Caroline Kingston MD Mph Family Medicine LLC · Santa Fe, NM

Active · expires Jun 27, 2028

CLIA Number32D2009192

Laboratory TypePractitioner Other

Certificate Effective DateJune 28, 2026

Certificate Expiration DateJune 27, 2028

Laboratory DirectorDr. Caroline Kingston

Laboratory Phone(505) 820-2562

Laboratory LocationCaroline Kingston MD Mph Family Medicine LLC460 St Michaels Drive #1104, Santa Fe, NM 87505

CLIA data matches this NPI record on: Phone

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.

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 Caroline Kingston MD Mph Family Practice LLC's NPI number?

The NPI number for Caroline Kingston MD Mph Family Practice LLC is 1194966747. It was assigned to this organization in the NPPES registry on March 11, 2009. The provider is doing business as Caroline Kingston MD Mph Family Prectice LLC.

Where is Caroline Kingston MD Mph Family Practice LLC located?

Caroline Kingston MD Mph Family Practice LLC is located at 460 Saint Michaels Dr 1204, Santa Fe, NM 87505. The listed phone number is (505) 820-2562.

What is Caroline Kingston MD Mph Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Caroline Kingston MD Mph Family Practice LLC enrolled in Medicare?

Yes. Caroline Kingston MD Mph Family Practice LLC is registered in the Medicare PECOS enrollment system.

When is Caroline Kingston MD Mph Family Practice LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Caroline Kingston MD Mph Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Caroline Kingston MD Mph Family Practice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Caroline Kingston MD Mph Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D2009192) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Caroline Kingston MD Mph Family Practice LLC was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.