Active NPI
Juan Carlos Mena, MD
- Diagnostic Radiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20050716
- Practice address
- 4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857 - Phone
- (505) 332-6900
- Fax
- (505) 332-6921
- NPI assigned
- Feb 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 20050716 | NM | Primary |
Addresses
Primary practice location
4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Mailing address
4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Phone (505) 332-6900
Other practice location 1
52 Underwood St
Orlando, FL 32806-1110
Phone (407) 649-6823
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600521002 | Other | NM | MEDICARE IDTF |
| 800521226 | Other | NM | MEDICARE IDTF |
| 2258272 | Other | NM | MEDICARE GROUP |
| 700521102 | Other | NM | MEDICARE GROUP |
| 45138 | Medicaid | NM | |
| 52713 | Medicaid | NM | |
| 68071019 | Medicaid | NM | |
| 1492060 | Medicaid | LA | |
| L0634 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Louisiana State University School of Medicine in New Orleans, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Fort Walton Beach, FL 32548
Phone (405) 334-5226
Gainesville, FL 32608
Phone (832) 355-4112
Lithia, FL 33547
Phone (505) 225-8476
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Hospital & facility affiliations
- Memorial Medical Center
- Paris Regional Medical Center
- Duncan Regional Hospital, Inc
- Carlsbad Medical Center
- Mountainview Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20050716 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Eagle Partners, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Sierra Vista Hospital | Current | Accepting new patients | |
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Specialists LTD Marasso-Miller | Diagnostic Radiology | Current | Accepting new patients |
| Franklin & Seidelmann Inc | Diagnostic Radiology | Past | Accepting new patients |
| Southwestern Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| American Teleradiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Sheridan Radiology Services of West Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Sierra Vista Hospital | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270
1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964
657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
7130 Smoke Ranch Rd
Ste 101
Las Vegas, NV 89128
Phone (702) 304-8135
360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
Networks
- Freedom Health HMO Network
Organizations & group practices 17
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.
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
FL
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
FL
-
- Radiology Clinic/Center
- Mountain View, CA
- NPI 1629265806
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1881666998
TX
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1437196979
-
- Rural Health Clinic/Center
- Truth Or Consequences, NM
- NPI 1689638942
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Carlsbad, NM
- NPI 1114949781
-
- General Acute Care Hospital
- Carlsbad, NM
- NPI 1790722346
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1184696387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 THE 25 WAY NE",
"address_2": "SUITE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095857",
"telephone_number": "505-332-6900",
"fax_number": "505-332-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 THE 25 WAY NE",
"address_2": "SUITE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095857",
"telephone_number": "505-332-6900",
"fax_number": "505-332-6921"
}
],
"practiceLocations": [
{
"address_1": "52 Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "407-649-6823",
"fax_number": "407-849-6470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENA",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "20050716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDTF",
"identifier": "600521002",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDTF",
"identifier": "800521226",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2258272",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "700521102",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45138",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52713",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68071019",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1492060",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L0634",
"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 Aug 11, 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.