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

Jerald T Loy, PA

Individual provider Medical Physician Assistant · NPI 1104851021

Jerald T Loy, PA is a Physician Assistant in Albuquerque, New Mexico. Qualified in 1997, 29 years ago. Practices with Optumcare New Mexico LLC, a 72-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
29
Licensed in
NM
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13701 Encantado Rd NE
Albuquerque, NM 87123-2275
Phone: (505) 237-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2004-0005 (NM)

Record details

NPI number1104851021
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Optumcare New Mexico Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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