ABHISHEK TOMAR MBBS, MD
NPI 1255979282
Family Medicine in Albuquerque, NM
About Abhishek Tomar Mbbs, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABHISHEK TOMAR MBBS, MD (NPI 1255979282) is an individual family medicine provider in Albuquerque, New Mexico, licensed in Virginia (0101278346) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Abhishek Tomar Mbbs, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Abhishek Tomar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashburn, VA 20147
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1215058326 (District of Columbia)
- 995 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87131
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 Abhishek Tomar's NPI number?
The NPI number for Abhishek Tomar is 1255979282. It was assigned to this individual provider in the NPPES registry on December 20, 2019.
Where is Abhishek Tomar located?
Abhishek Tomar practices at Msc 116093 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-8333.
What is Abhishek Tomar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Abhishek Tomar enrolled in Medicare?
Yes. Abhishek Tomar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Abhishek Tomar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abhishek Tomar reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Ashburn, VA). The 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 Abhishek Tomar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Abhishek Tomar was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Abhishek Tomar, MBBS, MD · NPI 1255979282
Family Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since December 20, 2019.
## Identity
- **NPI:** 1255979282 (Entity type: Individual)
- **Enumerated:** December 20, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101278346 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** MSC 116093 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131-7601
- **Phone:** (505) 272-8333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1699893537, Ashburn, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** August 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255979282) · Data from the CMS NPPES public registry.