FEDKO EMERGENCY PHYSICIANS NEW MEXICO LLC
NPI 1770047441
Emergency Medicine in Grants, NM

Active since January 28, 2019
1016 E ROOSEVELT AVE, GRANTS, NM 87020(505) 287-4446 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fedko Emergency Physicians New Mexico Llc NPPES

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

FEDKO EMERGENCY PHYSICIANS NEW MEXICO LLC (NPI 1770047441) is a healthcare organization registered as an emergency medicine in Grants, New Mexico and active in the NPI registry since January 2019. The organization lists Martin Fedko, Owner, as its authorized official.

NPPES Registry Identity

NPI1770047441
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameFEDKO EMERGENCY PHYSICIANS NEW MEXICO LLC
Location Address1016 E ROOSEVELT AVEGrants, NM 87020-2118
Mailing Address7725 W Reno AveOklahoma City, OK 73127-9711
Organization SubpartNo
Authorized OfficialMartin FedkoOwner · (857) 571-2467
Enumeration DateJanuary 28, 2019
✔ NPI 1770047441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1016 E ROOSEVELT AVE, Grants, NM 87020

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Fedko Emergency Physicians New Mexico Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Fedko Emergency Physicians New Mexico LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine70
Family Practice22
Nurse Practitioner21
Internal Medicine8
General Surgery2

Nearest to this location (20)

See all 123
Emergency Medicine
NPI 1073837704
80 B VETERANS BLVD
Pueblo Of Acoma, NM 87034
(505) 552-5300
✔ PECOS16 mi
Emergency Medicine
NPI 1376613323
80 B VETERANS BLVD
Acoma, NM 87034
(505) 552-5300
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1245645183
ROUTE 301 NORTH
Zuni, NM 87327
(505) 782-4431
✔ PECOS✔ Accepts Medicare54 mi
Family Practice
NPI 1346772001
MSC FAMILY MEDICINE 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(575) 517-0461
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1225488018
1100 CENTRAL AVE SE
Albuquerque, NM 87106
(505) 841-1125
✔ PECOS✔ Accepts Medicare68 mi
Emergency Medicine
NPI 1497134506
1100 CENTRAL AVE SE
Albuquerque, NM 87106
(505) 841-1234
✔ PECOS✔ Accepts Medicare68 mi
Emergency Medicine
NPI 1164644100
1100 CENTRAL AVE SE DEPT OF EMERGENCY MEDICINE
Albuquerque, NM 87106
(505) 841-1125
✔ PECOS68 mi
Family Practice
NPI 1225030042
PO BOX 26666 PHS PROVIDER ENROLLMENT
Albuquerque, NM 87125
(505) 923-5362
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1629876685
4600 MONTGOMERY BLVD NE STE D201
Albuquerque, NM 87109
(505) 884-0079
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1518264308
4701 MONTGOMERY BLVD NE
Albuquerque, NM 87109
(505) 727-8360
✔ PECOS✔ Accepts Medicare70 mi
Emergency Medicine
NPI 1255317368
1202 HIGHWAY 60
Socorro, NM 87801
(575) 835-8343
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1093204315
4801 BECKNER RD
Santa Fe, NM 87507
(505) 772-1007
✔ PECOS✔ Accepts Medicare107 mi
Family Practice
NPI 1881922748
3201 ZAFARANO DR STE C PMB 249
Santa Fe, NM 87507
(505) 500-5392
✔ PECOS✔ Accepts Medicare108 mi
Emergency Medicine
NPI 1043284243
801 W MAPLE ST
Farmington, NM 87401
(505) 609-2001
✔ PECOS✔ Accepts Medicare110 mi
Emergency Medicine
NPI 1982016572
801 W MAPLE ST
Farmington, NM 87401
(505) 609-2258
✔ PECOS110 mi
Internal Medicine
NPI 1447266234
394 US HWY160
Kayenta, AZ 86033
(928) 697-4000
✔ PECOS172 mi
Family Practice
NPI 1134626070
117 CAMINO DE VIDA STE 300
Santa Rosa, NM 88435
(575) 472-4311
✔ PECOS✔ Accepts Medicare178 mi
Nurse Practitioner
NPI 1740676063
204 COTTONWOOD DR
Alamogordo, NM 88310
(575) 491-3832
✔ PECOS✔ Accepts Medicare187 mi
Internal Medicine
NPI 1740255942
2669 SCENIC DR
Alamogordo, NM 88310
(575) 439-6100
✔ PECOS✔ Accepts Medicare189 mi
General Surgery
NPI 1598750424
2421 W 21ST ST STE B
Clovis, NM 88101
(757) 697-5775
✔ PECOS✔ Accepts Medicare270 mi
See all 123 clinicians

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 Fedko Emergency Physicians New Mexico LLC's NPI number?

The NPI number for Fedko Emergency Physicians New Mexico LLC is 1770047441. It was assigned to this organization in the NPPES registry on January 28, 2019.

Where is Fedko Emergency Physicians New Mexico LLC located?

Fedko Emergency Physicians New Mexico LLC is located at 1016 E Roosevelt Ave, Grants, NM 87020. The listed phone number is (505) 287-4446.

What is Fedko Emergency Physicians New Mexico LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Fedko Emergency Physicians New Mexico LLC enrolled in Medicare?

Yes. Fedko Emergency Physicians New Mexico LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fedko Emergency Physicians New Mexico LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 5 Medicare specialties reassign their Medicare billing to Fedko Emergency Physicians New Mexico LLC. 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. The largest specialties are Emergency Medicine (70), Family Practice (22) and Nurse Practitioner (21). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fedko Emergency Physicians New Mexico LLC was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.