Optumcare New Mexico LLC
NPI 1124053210 · Family Medicine Physician · Albuquerque, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optumcare New Mexico LLC is a Family Medicine Physician organization in Albuquerque, NM (NPI 1124053210).
Provider details
- NPI number
- 1124053210
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Castillo, Associate Director(702) 480-2550
- License
- 32D0685327 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Davita Medical Group
- Doing business as
- Davita Medical Group
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2024-03-29
- Certified
- 2024-03-29
Frequently asked questions
- What is Optumcare New Mexico LLC's NPI number?
- Optumcare New Mexico LLC's National Provider Identifier (NPI) is 1124053210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optumcare New Mexico LLC?
- Optumcare New Mexico LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Optumcare New Mexico LLC located?
- Optumcare New Mexico LLC's practice location on file with NPPES is 2901 Transport St Se, Albuquerque, NM 87106-4382.
- What is Optumcare New Mexico LLC's phone number?
- The practice phone number listed in the NPPES registry for Optumcare New Mexico LLC is (505) 262-7000.
- Does Optumcare New Mexico LLC accept Medicare?
- Optumcare New Mexico LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Optumcare New Mexico LLC?
- The authorized official listed on Optumcare New Mexico LLC's NPPES record is Emily Castillo, Associate Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optumcare New Mexico LLC's NPI active?
- Yes — Optumcare New Mexico LLC's NPI (1124053210) is active in the NPPES registry as of the last update on 2024-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.