FOUR CORNERS HEART AND LUNG INSTITUTE PC
NPI 1477859122
Clinic/Center - Medical Specialty in Farmington, NM
About Four Corners Heart And Lung Institute Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR CORNERS HEART AND LUNG INSTITUTE PC (NPI 1477859122) is a healthcare organization registered as a medical specialty in Farmington, New Mexico and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Robert Frederick Sprung, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Four Corners Heart And Lung Institute Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Four Corners Heart And Lung Institute PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Farmington, NM 87401
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 of Waiver 32D2023539
Four Corners Heart And Lung Institute PC · Farmington, NMFrequently 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 Four Corners Heart And Lung Institute PC's NPI number?
The NPI number for Four Corners Heart And Lung Institute PC is 1477859122. It was assigned to this organization in the NPPES registry on January 27, 2011.
Where is Four Corners Heart And Lung Institute PC located?
Four Corners Heart And Lung Institute PC is located at 2700 Farmington Ave Building I Suite 2, Farmington, NM 87401. The listed phone number is (505) 326-3691.
What is Four Corners Heart And Lung Institute PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Four Corners Heart And Lung Institute PC enrolled in Medicare?
Yes. Four Corners Heart And Lung Institute PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Four Corners Heart And Lung Institute PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Four Corners Heart And Lung Institute PC. 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 Four Corners Heart And Lung Institute PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2023539) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Four Corners Heart And Lung Institute PC was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Four Corners Heart And Lung Institute Pc · NPI 1477859122
Medical Specialty organization in Farmington, New Mexico. Organization record, active in the CMS NPPES registry since January 27, 2011.
## Identity
- **NPI:** 1477859122 (Entity type: Organization)
- **Enumerated:** January 27, 2011
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Robert Sprung, CEO
## Practice location
- **Address:** 2700 FARMINGTON AVE, BUILDING I SUITE 2, Farmington, NM 87401-4559
- **Phone:** (505) 326-3691 · **Fax:** (505) 327-9688
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2011
- **Other identifiers:** Medicaid 86532031 (NM); Other NM301033 (NM); Medicare UPIN G84751 (NM)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477859122) · Data from the CMS NPPES public registry.