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STEPHANIE M PARKS DPM LLC
NPI 1356817837
Podiatrist - Foot & Ankle Surgery in Albuquerque, NM

Active since October 22, 2018
500 WALTER ST NE # 510A, ALBUQUERQUE, NM 87102(505) 404-9922(505) 299-4487 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Oct 22, 2018 (2 updates tracked since 2018).

About Stephanie M Parks Dpm Llc NPPES

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

STEPHANIE M PARKS DPM LLC (NPI 1356817837) is a healthcare organization registered as a foot & ankle surgery in Albuquerque, New Mexico and active in the NPI registry since October 2018. The organization maintains a secondary practice location in Albuquerque and lists Stephanie Parks, Physician, as its authorized official.

NPPES Registry Identity

NPI1356817837
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSTEPHANIE M PARKS DPM LLC
Location Address500 WALTER ST NE # 510AAlbuquerque, NM 87102-2534
Mailing Address500 Walter St NeAlbuquerque, NM 87102-2534 · (505) 404-9922 · Fax (505) 299-4487
Phone(505) 404-9922
Fax(505) 299-4487
Organization SubpartYes
Authorized OfficialStephanie ParksPhysician · (505) 299-4487
Enumeration DateOctober 22, 2018
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1356817837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
500 WALTER ST NE # 510A, Albuquerque, NM 87102
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Secondary Practice Location 1

Location 1500 Walter St NE # 510AAlbuquerque, NM 87102-2534 · Phone (505) 404-9922 · Fax (505) 299-4487

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Stephanie M Parks Dpm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Stephanie M Parks DPM LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Stephanie Parks, DPM
Podiatry
NPI 1760747844
500 WALTER ST NE STE 510A
Albuquerque, NM 87102
(505) 404-9922
✔ PECOS✔ Accepts MedicareSame address
Justin Ward, DPM
Podiatry
NPI 1548515521
4343 PAN AMERICAN FWY NE STE 234
Albuquerque, NM 87107
(505) 880-1000
✔ PECOS✔ Accepts Medicare3.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stephanie M Parks Dpm LLC's NPI number?

The NPI number for Stephanie M Parks Dpm LLC is 1356817837. It was assigned to this organization in the NPPES registry on October 22, 2018.

Where is Stephanie M Parks Dpm LLC located?

Stephanie M Parks Dpm LLC is located at 500 Walter St NE # 510A, Albuquerque, NM 87102. The listed phone number is (505) 404-9922.

What is Stephanie M Parks Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Stephanie M Parks Dpm LLC enrolled in Medicare?

Yes. Stephanie M Parks Dpm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephanie M Parks Dpm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Stephanie M Parks Dpm 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie M Parks Dpm LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.