New Mexico Rheumatology, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD20050123 Issued in NM

Legal business name

NEW MEXICO RHEUMATOLOGY, LLC

Practice address

8200 Louisiana Blvd NE
Albuquerque, NM 87113-2105

Phone

(505) 828-2400

NPI assigned

Feb 11, 2010

Last updated

Nov 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Anthony Rosandich, MDNPI 1356435747

Title

Medical Director

Phone

(404) 759-6866

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Rosandich, M.D.

  • Rheumatology Physician
  • Albuquerque, NM
  • NPI 1356435747
  Medicare reassignment NPD Authorized official
• Juliet Coquia, MD

  • Rheumatology Physician
  • Albuquerque, NM
  • NPI 1730204520
  Medicare reassignment NPD
• Ronald John Rosandich, MD

  • Allergy & Immunology Physician
  • Albuquerque, NM
  • NPI 1811969322
  NPD

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290816000000",
    "number": "1164754453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 LOUISIANA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132105",
            "telephone_number": "505-828-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 LOUISIANA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132105",
            "telephone_number": "505-828-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-11-27",
        "status": "A",
        "authorized_official_last_name": "ROSANDICH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-759-6866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "MD20050123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-PERSONAL",
            "identifier": "1356435747",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78834295",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Mexico Psychological and Behavioral Services LLC
• New Mexico Psychotherapy LLC
• New Mexico Quality Case Management
• New Mexico Reentry Center
• New Mexico Resource Center for Health Professionals
• New Mexico Ride Inc
• New Mexico School for the Blind and Visually Impaired Early Childhood
• New Mexico Solutions
• New Mexico Solutions
• New Mexico Sonographics Inc

• Rheumatology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Rheumatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.