ISMAEL PEREIRA PA-C
NPI 1568913911
Phlebology in Albuquerque, NM
NPI Status: Active since October 20, 2016
Contact Information
4600 MONTGOMERY BLVD NE # B
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 924-5840
Fax: (505) 924-5841
NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Jul 28, 2022, Nov 3, 2020, May 8, 2019 and 2 more (5 updates tracked since 2016).
- Individual
- Male
- Phlebology
- PECOS Enrolled
About ISMAEL PEREIRA
This page provides the complete NPI Profile along with additional information for Ismael Pereira, a provider established in Albuquerque, New Mexico with a medical specialization in Phlebology. The healthcare provider is registered in the NPI registry with number 1568913911 assigned on October 2016. The practitioner's primary taxonomy code is 202K00000X with license number PA2016-0096 (NM). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1568913911
- Provider Name
- ISMAEL PEREIRA PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4600 MONTGOMERY BLVD NE # B ALBUQUERQUE, NM 87109
- Location Phone
- (505) 924-5840
- Location Fax
- (505) 924-5841
- Mailing Address
- PO BOX 91224 ALBUQUERQUE, NM 87199
- Mailing Phone
- (505) 924-5840
- Mailing Fax
- (505) 924-5841
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-20-2016
- Last Update Date
- 07-28-2022
- Code Navigator
Location Map
Secondary Locations
- 914 Pinehurst Rd SE
Rio Rancho, NM 87124
(505) 924-5840
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Phlebology
- Taxonomy Code
- 202K00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- PA2016-0096
- License State
- NM
- Taxonomy Description
- Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA20160096 (NM) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA20160096 | MEDICAID (05) | NM |
Medicare Participation & PECOS Enrollment Status
Ismael Pereira is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568913911, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568913911, enumerated as an "individual" on October 20, 2016.
The provider is located at 4600 MONTGOMERY BLVD NE # B ALBUQUERQUE, NM 87109 and the phone number is (505) 924-5840.
Phlebology with taxonomy code 202K00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
