Individual provider Active NPI

Nicholas James Cutrufello, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Rio Rancho, NM
National Provider Identifier
1003182809
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD2016-0517 Issued in NM
Practice address
1009 Golf Course Rd SE Ste 109
Rio Rancho, NM 87124-4705
Phone
(505) 891-3344
Fax
(505) 896-4499
NPI assigned
Mar 26, 2012
Last updated
Nov 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD2016-0517 NM Primary

Addresses

Primary practice location

1009 Golf Course Rd SE Ste 109
Rio Rancho, NM 87124-4705

Mailing address

1009 Golf Course Rd SE
Ste 109
Rio Rancho, NM 87124-4705
Phone (505) 891-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171213000115 NM Practitioner - Sleep Medicine 6608000559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
University of Miami, LM Miller School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omnisleep LLCGroup PAC ID 1658303987, 8 clinicians

Practice addresses (Care Compare)

3810 Masthead St NE
Albuquerque, NM 87109-4479
Phone (505) 843-8758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2016-0517NMMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omnisleep LLC CurrentSince Mar 5, 2018 Accepting new patients
Omnisleep LLC Sleep Medicine CurrentSince Mar 5, 2018 Accepting new patients

Locations

3810 Masthead St NE
Albuquerque, NM 87109
Phone (505) 243-3514

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1003182809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 GOLF COURSE RD SE",
            "address_2": "STE 109",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244705",
            "telephone_number": "505-891-3344",
            "fax_number": "505-896-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 GOLF COURSE RD SE STE 109",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244705",
            "telephone_number": "505-891-3344",
            "fax_number": "505-896-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTRUFELLO",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NM",
            "license": "MD2016-0517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.