Optumcare New Mexico, LLC
NPI 1174025191 · Durable Medical Equipment & Medical Supplies · Albuquerque, NM
Optumcare New Mexico, LLC is a Durable Medical Equipment & Medical Supplies organization in Albuquerque, NM (NPI 1174025191).
Provider details
- NPI number
- 1174025191
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Optumcare New Mexico, LLC
- Organization subpart
- Yes
- Authorized official
- Ryan Tyner, Cmo(505) 262-7000
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2020-03-31
- Certified
- 2020-03-31
Frequently asked questions
- What is Optumcare New Mexico, LLC's NPI number?
- Optumcare New Mexico, LLC's National Provider Identifier (NPI) is 1174025191, 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 Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Optumcare New Mexico, LLC located?
- Optumcare New Mexico, LLC's practice location on file with NPPES is 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900.
- 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) 232-1150.
- Who is the authorized official for Optumcare New Mexico, LLC?
- The authorized official listed on Optumcare New Mexico, LLC's NPPES record is Ryan Tyner, Cmo. 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 (1174025191) is active in the NPPES registry as of the last update on 2020-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.