Active NPI
Yasuhiro Nakatani, MD
- Infectious Disease Physician
- Albuquerque, NM
National Provider Identifier
1114901329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 95-309
- Practice address
- 1 University of New Mexico
MSC 10-5550
Albuquerque, NM 87131-0001 - Phone
- (505) 272-5666
- Fax
- (505) 272-4435
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 36376 | MN | |
| Infectious Disease Physician | 207RI0200X | 95-309 | NM | Primary |
| Infectious Disease Physician | 207RI0200X | A054401 | CA | |
| Infectious Disease Physician | 207RI0200X | 22376 | AZ | |
| Infectious Disease Physician | 207RI0200X | 01057741A | IN | |
| Infectious Disease Physician | 207RI0200X | 38165 | KY |
Addresses
Primary practice location
1 University of New Mexico
MSC 10-5550
Albuquerque, NM 87131-0001
Mailing address
933 Bradbury Drive SE
Suite 2222
Albuquerque, NM 87106-4374
Phone (505) 272-3120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180753 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A054401 | CA | MD | Infectious Disease Physician |
| 01057741A | IN | MD | Infectious Disease Physician |
| 38165 | KY | MD | Infectious Disease Physician |
| 36376 | MN | MD | Pediatrics Physician |
| TP774 | KY | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Banner-University Medical Group | Past | Accepting new patients | |
| Banner Pharmacy Services LLC | Past | Accepting new patients | |
| University of Louisville Research Foundation | Past | Accepting new patients | |
| University Medical Associates | Past | Accepting new patients | |
| University Physicians Group - Radiology | Past | Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1154384899
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1417902925
-
- Family Medicine Physician
- Louisville, KY
- NPI 1851357735
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1619061116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114901329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 BRADBURY DRIVE SE",
"address_2": "SUITE 2222",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064374",
"telephone_number": "505-272-3120",
"fax_number": "505-272-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO",
"address_2": "MSC 10-5550",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-5666",
"fax_number": "505-272-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKATANI",
"first_name": "YASUHIRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MN",
"license": "36376",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NM",
"license": "95-309",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A054401",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AZ",
"license": "22376",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "01057741A",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KY",
"license": "38165",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180753",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.