EVOLVE ABQ PROFESSIONAL CORPORATION
NPI 1952293466
Clinic/Center - Primary Care in Albuquerque, NM

Active since July 18, 2025
4550 EUBANK BLVD NE STE 107, ALBUQUERQUE, NM 87111(505) 616-0915 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Evolve Abq Professional Corporation NPPES

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

EVOLVE ABQ PROFESSIONAL CORPORATION (NPI 1952293466) is a healthcare organization registered as a primary care in Albuquerque, New Mexico and active in the NPI registry since July 2025. The organization lists Lida Fatemi, Practitioner, as its authorized official.

NPPES Registry Identity

NPI1952293466
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVOLVE ABQ PROFESSIONAL CORPORATION
Location Address4550 EUBANK BLVD NE STE 107Albuquerque, NM 87111-2565
Mailing Address4550 Eubank Blvd Ne Ste 108Albuquerque, NM 87111-2565 · (505) 485-2545 · Fax (505) 657-7309
Organization SubpartNo
Authorized OfficialLida FatemiPractitioner · (404) 272-6088
Enumeration DateJuly 18, 2025
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1952293466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
4550 EUBANK BLVD NE STE 107, Albuquerque, NM 87111

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)

Evolve Abq Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evolve Abq Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1295001048
4550 EUBANK BLVD NE STE 108
Albuquerque, NM 87111
(702) 886-7075
✔ PECOSSame address

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 Evolve Abq Professional Corporation's NPI number?

The NPI number for Evolve Abq Professional Corporation is 1952293466. It was assigned to this organization in the NPPES registry on July 18, 2025.

Where is Evolve Abq Professional Corporation located?

Evolve Abq Professional Corporation is located at 4550 Eubank Blvd NE Ste 107, Albuquerque, NM 87111. The listed phone number is (505) 616-0915.

What is Evolve Abq Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Evolve Abq Professional Corporation enrolled in Medicare?

Yes. Evolve Abq Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolve Abq Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Evolve Abq Professional Corporation. 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 Evolve Abq Professional Corporation was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.