Optumcare Endoscopy Center New Mexico, LLC
NPI 1962685834 · Ambulatory Surgical Clinic/Center · Albuquerque, NM
Optumcare Endoscopy Center New Mexico, LLC is a Ambulatory Surgical Clinic/Center organization in Albuquerque, NM (NPI 1962685834).
Provider details
- NPI number
- 1962685834
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Davita Medical Group New Mexico, LLC
- Organization subpart
- Yes
- Authorized official
- John Liethen, Secretary(952) 205-6262
- License
- PENDING (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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 Endoscopy
- Doing business as
- Davita Medical Endoscopy
Registry dates
- Enumerated
- 2007-12-13
- Last updated
- 2020-02-12
- Certified
- 2020-02-12
Frequently asked questions
- What is Optumcare Endoscopy Center New Mexico, LLC's NPI number?
- Optumcare Endoscopy Center New Mexico, LLC's National Provider Identifier (NPI) is 1962685834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optumcare Endoscopy Center New Mexico, LLC?
- Optumcare Endoscopy Center New Mexico, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Optumcare Endoscopy Center New Mexico, LLC located?
- Optumcare Endoscopy Center New Mexico, LLC's practice location on file with NPPES is 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729.
- What is Optumcare Endoscopy Center New Mexico, LLC's phone number?
- The practice phone number listed in the NPPES registry for Optumcare Endoscopy Center New Mexico, LLC is (505) 262-7174.
- Who is the authorized official for Optumcare Endoscopy Center New Mexico, LLC?
- The authorized official listed on Optumcare Endoscopy Center New Mexico, LLC's NPPES record is John Liethen, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optumcare Endoscopy Center New Mexico, LLC's NPI active?
- Yes — Optumcare Endoscopy Center New Mexico, LLC's NPI (1962685834) is active in the NPPES registry as of the last update on 2020-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.