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JOURNEY PEDIATRICS PC
NPI 1205205630
Clinic/Center - Primary Care in Albuquerque, NM

Active since September 16, 2015CLIA Certified · 2 labs
8308 CONSTITUTION PL NE, ALBUQUERQUE, NM 87110(505) 883-9570(505) 883-4163 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Journey Pediatrics Pc NPPES

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

JOURNEY PEDIATRICS PC (NPI 1205205630) is a healthcare organization registered as a primary care in Albuquerque, New Mexico and active in the NPI registry since September 2015. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Rio Rancho, and lists Alwyn Koil, Owner, as its authorized official.

NPPES Registry Identity

NPI1205205630
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJOURNEY PEDIATRICS PC
Location Address8308 CONSTITUTION PL NEAlbuquerque, NM 87110
Mailing Address12005 San Antonio Dr NeAlbuquerque, NM 87122-1096 · (505) 463-6618
Phone(505) 883-9570
Fax(505) 883-4163
Organization SubpartNo
Authorized OfficialAlwyn KoilOwner · (505) 463-6618
Enumeration DateSeptember 16, 2015
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1205205630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NM · 2003-0567
8308 CONSTITUTION PL NE, Albuquerque, NM 87110
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Secondary Practice Location 1

Location 12411 Cabezon Blvd SE Ste 103Rio Rancho, NM 87124-1514 · Phone (505) 883-9570 · Fax (505) 883-4163

Other Identifiers 1

Medicaid85684392NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 32D2283387

Journey Pediatrics PC · Rio Rancho, NM
Active · expires Jun 6, 2027
CLIA Number32D2283387
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorAlwyn Koil
Laboratory Phone(505) 883-9570
Laboratory LocationJourney Pediatrics PC2411 Cabezon Blvd SE, Suite 103, Rio Rancho, NM 87124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D0980217

Journey Pediatrics PC · Albuquerque, NM
Active · expires Nov 13, 2026
CLIA Number32D0980217
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDr. Alwyn A. Koil
Laboratory Phone(505) 883-9570
Laboratory LocationJourney Pediatrics PC8308 Constitution Pl NE, Albuquerque, NM 87110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

FREDERICK DUFF GRAMBORT M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 293-1333
ALISON MARSHALL LARSON CNP
Nurse Practitioner
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 883-9570
ZOE ELIZABETH HOWELL
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 883-9570
KATHLEEN JOAN DARRIGO M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 293-1333
ALWYN AJITRAJ KOIL M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 883-9570
ALBUQUERQUE PEDIATRIC ASSOCIATES, LTD.
Clinic/Center (Primary Care)
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 293-1333
PRIYA VALLABH SHAH M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 883-9507
LORETTA LEWIS MCNAMARA M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 293-1333

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 Journey Pediatrics PC's NPI number?

The NPI number for Journey Pediatrics PC is 1205205630. It was assigned to this organization in the NPPES registry on September 16, 2015.

Where is Journey Pediatrics PC located?

Journey Pediatrics PC is located at 8308 Constitution Pl NE, Albuquerque, NM 87110. The listed phone number is (505) 883-9570.

What is Journey Pediatrics PC's specialty?

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

Does Journey Pediatrics PC hold CLIA laboratory certificates?

Yes. 2 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 Journey Pediatrics PC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Journey Pediatrics PC 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 Journey Pediatrics PC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.