Individual provider Active NPI

Aseel Alsamarraie

  • Student in an Organized Health Care Education/Training Program
  • Albuquerque, NM
National Provider Identifier
1003556739
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RS2025-0161 Issued in NM
Practice address
Msc10 5530 1 University of New Mexico
Albuquerque, NM 87131-1665
Phone
(505) 272-2269
Fax
(505) 272-5821
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X RS2025-0161 NM Primary

Addresses

Primary practice location

Msc10 5530 1 University of New Mexico
Albuquerque, NM 87131-1665

Mailing address

Msc10 5530 1 University of New Mexicoalbuquerque87131
Albuquerque, NM 87131-0001
Phone (505) 272-2269

Other practice location 1

1321 Colby Ave Ste B400
Everett, WA 98201-1665
Phone (425) 297-5234

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
I20250602002405 NM Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 7214446244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RS2025-0161NMMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: aalsamarraie2341537@wm.providencedirect.org

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1003556739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC10 5530 1 UNIVERSITY OF NEW MEXICOALBUQUERQUE87131",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-2269",
            "fax_number": "505-272-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC10 5530 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871311665",
            "telephone_number": "505-272-2269",
            "fax_number": "505-272-5821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 Colby Ave Ste B400",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011665",
            "country_code": "US",
            "telephone_number": "425-297-5234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSAMARRAIE",
        "first_name": "ASEEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2025-0161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.