Active NPI
Julien Adicho, DPM
- Podiatrist
- Las Vegas, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 39 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 901 |
| Removal or shaving of skin growth | 382 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan K Anderson D P M P C | Podiatrist | Current | 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.
-
dba Foot & Ankle Specialists of Utah
- Foot & Ankle Surgery Podiatrist
- Bountiful, UT
- NPI 1639200215
NM
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.