Active NPI
Chandran Vedamanikam, M.D.
- Phlebology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- MD2012-0121
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61507334 | Medicaid | NM |
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|
| Varicose vein removal | 1-10 |
| Skin biopsy | 12 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2012-0121 | NM | MD | Family Medicine Physician |
| RS2008-0187 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan K Anderson D P M P C | Current | Accepting new patients | |
| Compassion Care Clinic PC | Family Medicine | Current | Accepting new patients |
| Specialty Care Clinic LLC | Family Medicine | Current | Accepting new patients |
| Vein & Vascular LLC | Phlebology | Current | Accepting new patients |
| Center for Vein Restoration NM LLC | Current | Accepting new patients | |
| High Desert Doppler Inc. | Current | 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
- 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.
-
- Phlebology Physician
- Las Cruces, NM
- NPI 1003704867
-
- Cardiovascular Disease Physician
- Rio Rancho, NM
- NPI 1891342994
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1699517771
-
- Clinic/Center
- Albuquerque, NM
- NPI 1508191206
-
- Physiological Laboratory
- Albuquerque, NM
- NPI 1326605775
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.