Individual provider Active NPI

Chandran Vedamanikam, M.D.

  • Phlebology Physician
  • Albuquerque, NM
National Provider Identifier
1154585990
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
MD2012-0121 Issued in NM
Practice address
3825 Eubank Blvd NE Ste H
Albuquerque, NM 87111-3559
Phone
(505) 350-3397
Fax
(505) 323-7980
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RS2008-0187 NM
Phlebology Physician 202K00000X MD2012-0121 NM Primary
Family Medicine Physician 207Q00000X MD2012-0121 NM

Addresses

Primary practice location

3825 Eubank Blvd NE Ste H
Albuquerque, NM 87111-3559

Mailing address

700 S Telshor Blvd Ste 1460
Las Cruces, NM 88011-8607
Phone (575) 567-7774

Other practice location 1

700 S Telshor Blvd Ste 1460
Las Cruces, NM 88011-8607
Phone (575) 567-7774

Other identifiers 1

IdentifierTypeStateIssuer
61507334MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000789 NM Practitioner - Family Practice 4587838784 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2474 Indian Wells Rd
Suite a
Alamogordo, NM 88310-3845
Phone (575) 443-0339

700 S Telshor Blvd
Suite 1460
Las Cruces, NM 88011-8607
Phone (575) 567-7774

Merit-based Incentive Payment System (MIPS)

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

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
Varicose vein removal1-10
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2012-0121NMMDFamily Medicine Physician
RS2008-0187NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K Anderson D P M P C CurrentSince Jul 16, 2023 Accepting new patients
Compassion Care Clinic PC Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Specialty Care Clinic LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Vein & Vascular LLC Phlebology CurrentSince Sep 18, 2025 Accepting new patients
Center for Vein Restoration NM LLC CurrentSince Oct 13, 2020 Accepting new patients
High Desert Doppler Inc. CurrentSince Jan 15, 2013 Accepting new patients
Vessel Health LLC Past Accepting new patients

Locations

2474 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 747-0506

10601 4th St NW
Albuquerque, NM 87114
Phone (505) 828-3000

8008 Menaul Blvd NE
Albuquerque, NM 87110
Phone (206) 703-2204

801 Encino Pl NE
Ste C12
Albuquerque, NM 87102
Phone (505) 247-4849

1300 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 298-7666

700 Lomas Blvd NE
Albuquerque, NM 87102
Phone (505) 242-1711

3825 Eubank Blvd NE
Ste H
Albuquerque, NM 87111
Phone (505) 350-3397

3825 Eubank Blvd NE
Ste D
Albuquerque, NM 87111
Phone (505) 298-8020

511 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 225-7091

700 S Telshor Blvd
Ste 1460
Las Cruces, NM 88011
Phone (505) 363-3377

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

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

3917 West Rd
Ste 156
Los Alamos, NM 87544
Phone (505) 365-1503

311 Los Lentes Rd SE
Los Lunas, NM 87031
Phone (505) 565-2232

2207 Golf Course Rd SE
Ste A
Rio Rancho, NM 87124
Phone (505) 896-1500

1790 Grande Blvd SE
Rio Rancho, NM 87124
Phone (505) 272-8735

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

909 N Date St
#B
Truth Or Consequences, NM 87901
Phone (575) 636-2388

Interoperability endpoints

  • Direct secure messaging: chandran.vedamanikammd.p3@direct.cvr.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1154585990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S TELSHOR BLVD STE 1460",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118607",
            "telephone_number": "575-567-7774",
            "fax_number": "575-205-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE STE H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113559",
            "telephone_number": "505-350-3397",
            "fax_number": "505-323-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Telshor Blvd Ste 1460",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118607",
            "country_code": "US",
            "telephone_number": "575-567-7774",
            "fax_number": "575-205-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEDAMANIKAM",
        "first_name": "CHANDRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "RS2008-0187",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NM",
            "license": "MD2012-0121",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2012-0121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61507334",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.