Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366536740 Individual Practitioner Male Practitioner

Dr. John R Pederson , MD

Pediatrics • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Dr. John Pederson, MD is a registered healthcare professional specializing in Pediatrics in Albuquerque, NM. Practice services are available at 1100 CENTRAL AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Central Ave Se
Pmg Peds Hospitalists

Albuquerque, NM 871064930

Telephone 5058411063
Fax 5052222695
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
253 Specialists

Practicing in Albuquerque, NM (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NM 20030477

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
90776224 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Renee Triplet , DO

Pediatrics - Pediatric Critical Care Medicine

NPI 1023274131

Doctor of Osteopathic Medicine (D.O.)

NPI 1083034920

Doctor of Osteopathic Medicine (D.O.)

NPI 1235834458

Doctor of Medicine (M.D.)

NPI 1275556375

Doctor of Medicine (M.D.)

NPI 1356435721

Doctor of Medicine (M.D.)

Dr. John Finley , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1457445827

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2008

Registered at 1100 CENTRAL AVE SE, PMG PEDS HOSPITALISTS, ALBUQUERQUE, NM 871064930 (Tel: 5058411063)

📍
Updated Business Mailing Address July 16, 2008

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059235356)

👤
Provider Name / Credentials Updated July 16, 2008

Recorded as JOHN PEDERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2008

Pediatrics (License #20030477 in NM)

🟢
Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366536740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: July 16, 2008
Sole Proprietor: No

Mailing Address

Po Box 26666, Phs Provider Enrollment

Albuquerque, NM 871256666

Phone: 5059235356

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.