Alyssa Briana Mirabal, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2023-0130 Issued in NM

Practice address

1851 Old US 66
Edgewood, NM 87015-7200

Phone

(505) 286-2396

Fax

(505) 272-8045

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

Yes

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

• McLeod Medical Centers of NM, Inc.

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782

  Family Medicine, NM

  Medicare reassignment Care Compare group NPD
• McLeod Medical Centers of NM, Inc.

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1215580832

  Family Medicine

  NPD

Specialty

General Practice

Education

University of New Mexico School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McLeod Medical Centers of NM Inc 54 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amirabal197828@christushealth.direct-ci.net
• Direct secure messaging: alyssa.mirabal.1@27050.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2023.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1043773005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 OLD US 66",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870157200",
            "telephone_number": "505-286-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 OLD US 66",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870157200",
            "telephone_number": "505-286-2396",
            "fax_number": "505-272-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11501 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112796",
            "country_code": "US",
            "telephone_number": "505-814-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRABAL",
        "first_name": "ALYSSA",
        "middle_name": "BRIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2023-0130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Schnee Messec, MD
• Jennifer Lee Mettling
• Sharon Louise Meyer, LMSW
• Michael Lysonski DDS LLC
• Neita Anne Miller, MS/CCC-SLP
• Molly McEachen LCSW LLC
• Kimberly Mondragon
• Jessica Monique Montez
• Ann Losee Morgan, D.O.M.
• Adamatta Mudada, PHARMD

• All providers in Edgewood, NM
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.