Organization Active NPI

Nitovo Healthcare LLC

  • Cardiovascular Disease Physician
  • Albuquerque, NM
National Provider Identifier
1124703525
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NITOVO HEALTHCARE LLC
Practice address
11311 Menaul Blvd NE
Albuquerque, NM 87112-0008
Phone
(505) 305-7766
Fax
(505) 305-7066
NPI assigned
Jun 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Suresh Neelagaru, MDNPI 1205813920
Title
Owner
Phone
(505) 506-9638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X

Addresses

Primary practice location

11311 Menaul Blvd NE
Albuquerque, NM 87112-0008

Mailing address

11311 Menaul Blvd NE
Albuquerque, NM 87112-0008
Phone (505) 305-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230807001521 NM Part B Supplier - Clinic/Group Practice 6002277019 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

11311 Menaul Blvd NE
Ste D
Albuquerque, NM 87112
Phone (505) 305-7766

11311 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 305-7766

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1124703525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871120008",
            "telephone_number": "505-305-7766",
            "fax_number": "505-305-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871120008",
            "telephone_number": "505-305-7766",
            "fax_number": "505-305-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITOVO HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "NEELAGARU",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-506-9638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.