NPIMap

Individual provider Active NPI

Fundador L Adajar, MD

  • Cardiovascular Disease Physician
  • Roswell, NM
National Provider Identifier
1013919232
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2002-0003 Issued in NM
Practice address
2890 N Wilshire Blvd
Roswell, NM 88201-6514
Phone
(575) 624-0400
Fax
(575) 623-1702
NPI assigned
Jun 1, 2005
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2002-0003 NM Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fundador.adajar.1@1610.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100125000797 NM Practitioner - Cardiovascular Disease (Cardiology) 4789742735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

601 Country Club Rd
Suite 201
Roswell, NM 88201-7662
Phone (505) 627-0535

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Clinic Corp CurrentSince Jan 20, 2014 Accepting new patients
Roswell Clinic Corp Cardiovascular Disease CurrentSince Jan 20, 2014 Accepting new patients
New Mexico Heart Institute, LLC Cardiovascular Disease Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients

Locations

2890 N Wilshire Blvd
Roswell, NM 88201
Phone (575) 624-0400

350 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-1841

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

601 W Country Club Rd
Ste 201
Roswell, NM 88201
Phone (505) 627-0535

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: fundador.adajar.1@1610.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1013919232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 N WILSHIRE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016514",
            "telephone_number": "575-624-0400",
            "fax_number": "575-623-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 N WILSHIRE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016514",
            "telephone_number": "575-624-0400",
            "fax_number": "575-623-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAJAR",
        "first_name": "FUNDADOR",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "2002-0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fundador.adajar.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Access",
            "address_1": "2890 N Wilshire Blvd",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882016514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.