MARCUS LAWRENCE COULDRIDGE
NPI 1194468504
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

NPI Status: Active since April 14, 2022

Contact Information

MSC09 0540. 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
ZIP 81731
Phone: (505) 272-6607
Fax: (505) 272-8045

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About MARCUS COULDRIDGE

This page provides the complete NPI Profile along with additional information for Marcus Couldridge, a primary care provider established in Albuquerque, New Mexico with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1194468504 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1194468504
Provider Name
MARCUS LAWRENCE COULDRIDGE
Gender
Male
Entity Type
Individual
Location Address
MSC09 0540. 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM 81731
Location Phone
(505) 272-6607
Location Fax
(505) 272-8045
Mailing Address
MSC09 0540. 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM 81731
Mailing Phone
(505) 272-6607
Mailing Fax
(505) 272-8045
Is Sole Proprietor?
No
Enumeration Date
04-14-2022
Last Update Date
04-14-2022
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A primary care provider (PCP) like Marcus Couldridge sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License State
NM
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Marcus Couldridge is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194468504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184861650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 8 + 6 + 1 + 6 + 5 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1194468504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194468504, enumerated in the NPI registry as an "individual" on April 14, 2022

The provider is located at Msc09 0540. 1 University Of New Mexico Albuquerque, Nm 81731 and the phone number is (505) 272-6607

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on April 14, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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