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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

O'CONNELL CALEB PENROSE MD
NPI 1548947971
General Practice in Albuquerque, NM

Active since June 28, 2023PECOS Enrolled
2050A 2ND ST SE, ALBUQUERQUE, NM 87117(843) 996-9027 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Jul 8, 2026, Apr 28, 2026 (3 updates tracked since 2026).

About O'connell Caleb Penrose Md NPPES

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

O'CONNELL CALEB PENROSE MD (NPI 1548947971) is an individual general practice provider in Albuquerque, New Mexico, licensed in Missouri (2026032184) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548947971
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameO'CONNELL CALEB PENROSECredential: MD
Location Address2050A 2ND ST SEAlbuquerque, NM 87117-5522
Mailing Address2050a 2nd St SeAlbuquerque, NM 87117-5522 · (843) 996-9027
Phone(843) 996-9027
Sole ProprietorNo
Enumeration DateJune 28, 2023
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1548947971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2026032184
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2050A 2ND ST SE, Albuquerque, NM 87117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

O'connell Caleb Penrose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL CARVAJAL PSY.D.
Psychologist (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
FRANCISCO F. GALLARDO JR. DDS, MS
Dentist (Prosthodontics)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3027
PAIGE LOREEN ANDRE-HUDSON
Social Worker (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
THOMAS POWELL MD
Emergency Medicine
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
JAROM JARDINE DO
Pediatrics
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
DR. TAMERA BORCHARDT WHNP. DNP
Nurse Practitioner (Women's Health)
2050A 2ND ST SE
ALBUQUERQUE, NM 87117
Bernalillo County (505) 846-3200
DR. MARY ANN TERESE ORZECH M.D.
Preventive Medicine (Occupational Medicine)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-2520
DR. LETICIA R TURNER O.T.D.
Occupational Therapist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200

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 O'connell Penrose's NPI number?

The NPI number for O'connell Penrose is 1548947971. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is O'connell Penrose located?

O'connell Penrose practices at 2050A 2nd St SE, Albuquerque, NM 87117. The listed phone number is (843) 996-9027.

What is O'connell Penrose's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is O'connell Penrose enrolled in Medicare?

Yes. O'connell Penrose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for O'connell Penrose was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.