PERCY M PENTECOST MD NPI 1750377412

NPI Information

  • NPI: 1750377412
  • Provider Name: PERCY M PENTECOST, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3016 MACKLAND AVE NE
    ALBUQUERQUE, NM
    ZIP 87106
  • Phone: (505) 399-0890

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NPI Details

Percy M Pentecost, MD is a geriatric medicine internal medicine in Albuquerque, NM. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Percy M Pentecost, MD NPI is 1750377412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3016 MACKLAND AVE NE
ALBUQUERQUE, NM
ZIP 87106-018
Phone: (505) 399-0890
Fax: (505) 448-0778

The NPI 1750377412 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.

  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)

The enumeration date for this NPI number is 9/27/2005 and was last updated on 2/15/2021.

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
1207QG0300XFamily MedicineGeriatric MedicineMD2004-0754NEW MEXICONo
2207R00000XInternal MedicineMD2004-0754NEW MEXICONo
3207RG0300XInternal MedicineGeriatric MedicineMD2004-0754NEW MEXICOYes

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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