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GENESIS PHYSICIAN ASSOCIATES LLC
NPI 1740569763
Internal Medicine in Farmington, NM

Active since August 08, 2011
4801 N BUTLER AVENUE, SUITE 8102, FARMINGTON, NM 87401(505) 436-2671 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genesis Physician Associates Llc NPPES

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

GENESIS PHYSICIAN ASSOCIATES LLC (NPI 1740569763) is a healthcare organization registered as an internal medicine in Farmington, New Mexico and active in the NPI registry since August 2011. The organization lists Uche Obisike, President, as its authorized official.

NPPES Registry Identity

NPI1740569763
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGENESIS PHYSICIAN ASSOCIATES LLC
Location Address4801 N BUTLER AVENUE, SUITE 8102Farmington, NM 87401-0818
Mailing Address4801 N Butler Avenue, Suite 8102Farmington, NM 87401-0818 · (505) 436-2671
Phone(505) 436-2671
Organization SubpartNo
Authorized OfficialUche ObisikePresident · (505) 436-2671
Enumeration DateAugust 8, 2011
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1740569763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2006-0141
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4801 N BUTLER AVENUE, Farmington, NM 87401
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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)

Genesis Physician Associates 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 Genesis Physician Associates LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Uche Obisike, MD
Internal Medicine
NPI 1265465884
1350 JACKIE RD SE STE 101
Rio Rancho, NM 87124
(505) 892-7518
✔ PECOS✔ Accepts Medicare136 mi
Clarissa Silva, FNP-BC
Nurse Practitioner
NPI 1124724646
1350 JACKIE RD SE STE 101
Rio Rancho, NM 87124
(505) 892-7518
✔ PECOS✔ Accepts Medicare136 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 Genesis Physician Associates LLC's NPI number?

The NPI number for Genesis Physician Associates LLC is 1740569763. It was assigned to this organization in the NPPES registry on August 8, 2011.

Where is Genesis Physician Associates LLC located?

Genesis Physician Associates LLC is located at 4801 N Butler Avenue Suite 8102, Farmington, NM 87401. The listed phone number is (505) 436-2671.

What is Genesis Physician Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Genesis Physician Associates LLC enrolled in Medicare?

Yes. Genesis Physician Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Physician Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Genesis Physician Associates LLC, in Internal Medicine and Nurse Practitioner. 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.

When was this NPI record last updated?

The NPPES record for Genesis Physician Associates LLC was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.