Individual provider Active NPI

Julien Adicho, DPM

  • Podiatrist
  • Las Vegas, NM
National Provider Identifier
1134612872
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Practice address
1608 7TH St Ste B
Las Vegas, NM 87701-5177
Phone
(718) 963-7332
NPI assigned
Jun 7, 2018
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0 NM Primary

Addresses

Primary practice location

1608 7TH St Ste B
Las Vegas, NM 87701-5177

Mailing address

1608 7TH St Ste B
Las Vegas, NM 87701-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210623002249 UT Practitioner - Podiatry 8123429578 Reassigns benefits to 1 organization
I20210624000231 NM Practitioner - Podiatry 8123429578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

1608 7TH St
Suite B
Las Vegas, NM 87701-5177
Phone (505) 355-2766

596 W 750
Suite 200
Bountiful, UT 84010-7281
Phone (801) 292-4425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.91 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue901
Removal or shaving of skin growth382
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K Anderson D P M P C Podiatrist CurrentSince Jun 17, 2021 Accepting new patients

Locations

105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313

1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766

1650 Hospital Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 982-4276

1650 Hospital Dr
Ste 800
Santa Fe, NM 87505
Phone (505) 395-3000

3600 Rodeo Ln
Ste A1
Santa Fe, NM 87507
Phone (505) 216-3515

665 Harkle Rd
Santa Fe, NM 87505
Phone (505) 983-7393

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Organizations & group practices 1

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 1

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1134612872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 7TH ST STE B",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877015177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 7TH ST STE B",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877015177",
            "telephone_number": "718-963-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADICHO",
        "first_name": "JULIEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.