MARGARET J ENGLISH MD
NPI 1487649794
Pediatrics in Albuquerque, NM

NPI Status: Active since September 13, 2005

Contact Information

1100 CENTRAL AVE SE
PICU - 6TH FLOOR
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 724-7044
Fax: (505) 841-1462

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About MARGARET ENGLISH

This page provides the complete NPI Profile along with additional information for Margaret English, a pediatrician established in Albuquerque, New Mexico with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1487649794 assigned on September 2005. The practitioner's primary taxonomy code is 208000000X with license number MD2008-0765 (NM). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1487649794
Provider Name
MARGARET J ENGLISH MD
Gender
Female
Entity Type
Individual
Location Address
1100 CENTRAL AVE SE PICU - 6TH FLOOR ALBUQUERQUE, NM 87106
Location Phone
(505) 724-7044
Location Fax
(505) 841-1462
Mailing Address
PO BOX 26666 PHS PROVIDER ENROLLMENT ALBUQUERQUE, NM 87125
Is Sole Proprietor?
No
Enumeration Date
09-13-2005
Last Update Date
08-15-2016
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A pediatrician like Margaret English is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
MD2008-0765
License State
NM
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080A0000XAllopathic & Osteopathic Physicians

Pediatrics
Adolescent Medicine

MD00043749 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0752ENOTHER (01)WAREGENCE BLUE SHIELD
8405243MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

Margaret English 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 87106 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.79
  • Minimum New Patient Price $54.26
  • Maximum New Patient Price $166.8
  • Average New Patient Copayment $21.19
  • Minimum New Patient Copayment $13.56
  • Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.38
  • Minimum Established Patient Price $17
  • Maximum Established Patient Price $135.35
  • Average Established Patient Copayment $24.09
  • Minimum Established Patient Copayment $4.25
  • Maximum Established Patient Copayment $33.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MARGARET J ENGLISH MD

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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.
1487649794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2416712418718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 2 + 4 + 1 + 8 + 7 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1487649794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457354243DR. ROBERT A BIAZAK M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1912900754ANESTHESIA ASSOCIATES OF NEW MEXICO P C
Organization
Specialist1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1689677361DR. JANE A. DEPPER M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1972506640DR. WILLIAM F. DOMINGUEZ M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1275536955DR. GEORGE M COFFEY M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1659374312DR. CHOUDARY C. GANGA M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1063415701DR. GARY J. BIAZAK M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 260-4300
1790788438DR. ADAM E BERG M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1851394456DR. THOMAS E MCCULLOUGH M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1710980313DR. KISHORE B MANNE M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1346243904DR. REX E MANIFOLD M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1255334942DR. EARL R GODWIN M.D
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1063415636DR. PENNY J. LINDGREN M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1477556967DR. DAVID J MOERMAN M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1245233733DR. JOANNE P ORR M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 260-4300
1750384236DR. LANG HA T. PHAM M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1073516555DR. POLLY C. PRIMM M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1225031818DR. RICKEY H. HUDSON M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1639172000DR. JAMES A SCHNEIDMILLER M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234
1144223595DR. JOHN S. WHITTINGTON M.D.
Individual
Anesthesiology1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
(505) 841-1234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487649794, enumerated in the NPI registry as an "individual" on September 13, 2005

The provider is located at 1100 Central Ave Se Picu - 6th Floor Albuquerque, Nm 87106 and the phone number is (505) 724-7044

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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.

Medicare beneficiaries should expect a typical cost of $84.79 with an average copayment of $21.19 for new patient appointments. Established patients should expect a typical charge of $96.38 and an average copayment of 24.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on September 13, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.