Active NPI
Alfredo Stabnick Nino, M.D.
- Diagnostic Radiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD2021-1181
- Practice address
- 8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640 - Phone
- (505) 998-3096
- Fax
- (505) 998-3100
- NPI assigned
- May 1, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 37790 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | C1-0030017 | DE | |
| Diagnostic Radiology Physician | 2085R0202X | MD2021-1181 | NM | Primary |
Addresses
Primary practice location
8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640
Mailing address
8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640
Phone (505) 998-3096
Other practice location 1
67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Phone (808) 885-4444
Other practice location 2
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001389198 | Medicaid | AZ | |
| 76856739 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- 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
- Diagnostic Radiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-1000
67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400
Hospital & facility affiliations
- The Queens Medical Center
- North Hawaii Community Hospital, Inc
- Molokai General Hospital
- Straub Clinic and Hospital
- Hilo Benioff Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Radiology Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Queens University Medical Group | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Connecticut Valley Radiology, PC | Past | Accepting new patients | |
| Connecticut Valley Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Banner Imaging Associates PLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
321 N Kuakini St
Ste 405
Honolulu, HI 96817
Phone (808) 522-0190
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- Home Health Agency
- Kamuela, HI
- NPI 1124009584
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1124077755
-
- Radiology Clinic/Center
- Hartford, CT
- NPI 1033176151
Diagnostic Radiology
-
- Body Imaging Physician
- Hartford, CT
- NPI 1518269091
-
- Diagnostic Radiology Physician
- Wickenburg, AZ
- NPI 1235469057
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Critical Access Hospital
- Kaunakakai, HI
- NPI 1366486979
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1164489258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8020 CONSTITUTION PL NE STE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107640",
"telephone_number": "505-998-3096",
"fax_number": "505-998-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 CONSTITUTION PL NE STE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107640",
"telephone_number": "505-998-3096",
"fax_number": "505-998-3100"
}
],
"practiceLocations": [
{
"address_1": "67-1125 Mamalahoa Hwy",
"address_purpose": "LOCATION",
"city": "Kamuela",
"state": "HI",
"postal_code": "967438496",
"country_code": "US",
"telephone_number": "808-885-4444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 Punchbowl St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968132402",
"country_code": "US",
"telephone_number": "808-691-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NINO",
"first_name": "ALFREDO",
"middle_name": "STABNICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "37790",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DE",
"license": "C1-0030017",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "MD2021-1181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001389198",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76856739",
"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 Sep 10, 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.