DR. TRENT LEE PROFFITT M.D. NPI 1578513396

NPI Information

  • NPI: 1578513396
  • Provider Name: DR. TRENT LEE PROFFITT, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 502 ELM ST NE
    ALBUQUERQUE, NM
    ZIP 87102
  • Phone: (505) 841-1000

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NPI Details

DR. Trent Lee Proffitt, M.D. is a vascular surgery surgery in Albuquerque, NM with 30 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Trent Lee Proffitt, M.D. NPI is 1578513396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1996

The provider's business location address is:

502 ELM ST NE
ALBUQUERQUE, NM
ZIP 87102-512
Phone: (505) 841-1000
Fax: (505) 843-2592

The NPI 1578513396 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Balloon dilation of artery of leg, each additional vessel (HCPCS:37232)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Removal of plaque in artery of leg, initial vessel (HCPCS:37229)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryL3442TEXASNo
22086S0129XSurgeryVascular SurgeryL3442TEXASNo
32086S0129XSurgeryVascular SurgeryMD2015-0422NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18A5383MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE NUMBER
2157817101MEDICAIDTEXAS
38J3515OTHERTEXASBLUE CROSS BLUE SHIELD
4H80923MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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