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TILLY NGO
NPI 1740743871
Pediatrics in Rio Rancho, NM

Active since April 06, 2019PECOS Enrolled
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124(505) 462-6000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Apr 6, 2019 (2 updates tracked since 2019).

About Tilly Ngo NPPES

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

TILLY NGO (NPI 1740743871) is an individual pediatrics provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2022-1118) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1740743871
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTILLY NGO
Location Address4005 HIGH RESORT BLVD SERio Rancho, NM 87124-5906
Mailing Address4005 High Resort Blvd SeRio Rancho, NM 87124-5906
Phone(505) 462-6000
Sole ProprietorYes
Enumeration DateApril 6, 2019
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1740743871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · MD2022-1118
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4005 HIGH RESORT BLVD SE, Rio Rancho, NM 87124
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Secondary Practice Location 1

Location 1Msc 10-5590 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-5551 · Fax (505) 272-6845

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tilly Ngo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHAE RAY
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
JENNIFER DELGADO FELIPA MD
Family Medicine (Geriatric Medicine)
4005 HIGH RESORT BLVD SE, INTERNAL MEDICINE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
REBECCA LYNN BOURBON P.A.-C
Physician Assistant
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
HEATHER ANN BUNDRANT RN
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 864-5454
DAVID ALLEN ZARIKTA CNP
Nurse Practitioner
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
DREW TOWLES
Pediatrics
4005 HIGH RESORT BLVD SE, PEDIATRICS
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
MARLENE EMBER-BARTOLOMEI CNP
Nurse Practitioner (Family)
4005 HIGH RESORT BLVD SE, PMG HIGH RESORT 4005
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
DR. JONATHAN FORREST GOLDSTONE MD
Family Medicine
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000

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 Tilly Ngo's NPI number?

The NPI number for Tilly Ngo is 1740743871. It was assigned to this individual provider in the NPPES registry on April 6, 2019.

Where is Tilly Ngo located?

Tilly Ngo practices at 4005 High Resort Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 462-6000.

What is Tilly Ngo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tilly Ngo enrolled in Medicare?

Yes. Tilly Ngo is registered in the Medicare PECOS enrollment system.

What insurance does Tilly Ngo accept?

Health plans from UnitedHealthcare list Tilly Ngo 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 Tilly Ngo was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.