Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ezequiel Chavez

Individual provider Orthopaedic Surgery Physician · NPI 1073240511

Ezequiel Chavez is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2024, 2 years ago. Practices with St Vincent Hospital, a 332-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2022
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Practice location Address checks out

1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone: (505) 266-5565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence PA2024-0054 (NM)

Record details

NPI number1073240511
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address1500 N Renaissance Blvd Ne Ste C, Albuquerque, NM 87107-7002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Albuquerque