Ismael Pereira, PA-C
Ismael Pereira, PA-C is a Phlebology Physician in Albuquerque, NM, registered under NPI 1568913911. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 4600 MONTGOMERY BLVD NE # B, Albuquerque, NM 87109. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PA2016-0096 | NM | Phlebology Physician primary |
| PA20160096 | NM | Medical Physician Assistant |
This provider holds licence PA2016-0096 issued in NM. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 2668754318
- Enrollment ID
- I20170113000060
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Phlebology covers
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. NUCC Health Care Provider Taxonomy, code 202K00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 202K00000X | Phlebology Physician | PA2016-0096 | NM | primary |
| 363AM0700X | Medical Physician Assistant Medical | PA20160096 | NM |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1568913911 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 20, 2016 |
| Last updated | Jul 28, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | PA-C |
| Practice address |
4600 MONTGOMERY BLVD NE # B Albuquerque, NM 87109 (505) 924-5840 Fax (505) 924-5841 |
| Mailing address |
PO BOX 91224 Albuquerque, NM 87199 |
| Other identifiers |
PA20160096
· Medicaid (NM) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 6 | 8 | 9 | 1 | 3 | 9 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 3 | 8 | 9 | 1 | 6 | 9 | 2 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.