Fundador L Adajar, MD
Individual provider Active NPI Cardiovascular Disease Physician · Roswell, NM
NPI 1013919232 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1013919232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 2002-0003 (NM)
- Practice address
- 2890 N Wilshire Blvd
Roswell, NM 88201-6514 - Phone
- (575) 624-0400
- Fax
- (575) 623-1702
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Roswell Clinic Corp
Practice addresses (Care Compare)
601 Country Club Rd
Suite 201
Roswell, NM 88201-7662
Phone (505) 627-0535
Hospital & facility affiliations
- Excelacare Home Health
- Eastern New Mexico Medical Center
- Artesia General Hospital
- Roosevelt General Hospital
- University Medical Center
- Guadalupe County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100125000797 | NM | Practitioner - Cardiovascular Disease (Cardiology) | 4789742735 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Clinic Corp | Cardiovascular Disease | Current |
Accepting new patients |
| Roswell Clinic Corp | Current |
Accepting new patients | |
| New Mexico Heart Institute, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Roswell Hospital Corporation | Past | Accepting new patients |
Locations
350 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-1841
601 W Country Club Rd
Ste 201
Roswell, NM 88201
Phone (505) 627-0535
2890 N Wilshire Blvd
Roswell, NM 88201
Phone (575) 624-0400
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170
Networks
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO
- CO HMO D-SNP
- TX HMO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2002-0003 | NM | Yes |
Addresses
Primary practice location
2890 N Wilshire Blvd
Roswell, NM 88201-6514
Mailing address
2890 N Wilshire Blvd
Roswell, NM 88201-6514
Phone (575) 624-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96879360 | Medicaid | NM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fundador.adajar.1@1610.direct.athenahealth.com |
Other providers in Roswell, NM
- Acacia Family Care LLC
- Veronica Serwaa Acheampong,
- Achieve Therapy Services
- Alexandra Acosta
- Action Counseling Service LLC
- Advanced Therapy Solutions, LLC
- Affilion Inc
- Affilion Inc
- Agape Home Care LLC
- Ankur Agrawal
All providers in Roswell, NM · Cardiovascular Disease Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.