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ETHAN DAFFNER DO
NPI 1912791286
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 09, 2025PECOS Enrolled
MSC105550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4661(505) 272-0475 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Daffner Do NPPES

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

ETHAN DAFFNER DO (NPI 1912791286) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912791286
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN DAFFNERCredential: DO
Location AddressMSC105550 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc105550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4661 · Fax (505) 272-0475
Phone(505) 272-4661
Fax(505) 272-0475
Sole ProprietorNo
Enumeration DateApril 9, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1912791286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MSC105550 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Daffner Do 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTO LUIS GARCIA MD
Student in an Organized Health Care Education/Training Program
MSC105550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661

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 Ethan Daffner's NPI number?

The NPI number for Ethan Daffner is 1912791286. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Ethan Daffner located?

Ethan Daffner practices at Msc105550 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is Ethan Daffner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Daffner enrolled in Medicare?

Yes. Ethan Daffner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Daffner was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.