CARL TAPIA MD
NPI 1568542801
Pediatrics in Albuquerque, NM
About Carl Tapia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL TAPIA MD (NPI 1568542801) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (MD2018-0464) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carl Tapia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carl Tapia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 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 87114 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carl Tapia's NPI number?
The NPI number for Carl Tapia is 1568542801. It was assigned to this individual provider in the NPPES registry on October 17, 2006.
Where is Carl Tapia located?
Carl Tapia practices at 4420 Irving Blvd NW, Albuquerque, NM 87114. The listed phone number is (505) 727-6300.
What is Carl Tapia's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Carl Tapia enrolled in Medicare?
Yes. Carl Tapia is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carl Tapia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Tapia reassigns Medicare benefits to Baylor College Of Medicine (Houston, TX). 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 Carl Tapia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Tapia accept?
Health plans from Harbor Health list Carl Tapia 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 Carl Tapia was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Carl Tapia, MD · NPI 1568542801
Pediatrics physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1568542801 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD2018-0464 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 4420 IRVING BLVD NW, Albuquerque, NM 87114-5915
- **Phone:** (505) 727-6300 · **Fax:** (505) 727-9588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Baylor College Of Medicine (NPI 1104867175, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2018
- **Other identifiers:** Medicaid 36478725 (NM); Medicaid 179029701 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1568542801) · Data from the CMS NPPES public registry.