Individual provider Active NPI

Juan Carlos Mena, MD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1184696387
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20050716 Issued in NM
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

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
600521002OtherNMMEDICARE IDTF
800521226OtherNMMEDICARE IDTF
2258272OtherNMMEDICARE GROUP
700521102OtherNMMEDICARE GROUP
45138MedicaidNM
52713MedicaidNM
68071019MedicaidNM
1492060MedicaidLA
L0634MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051223000015 NM Practitioner - Diagnostic Radiology 8224058409 Reassigns benefits to 1 organization
I20090218000648 TX Practitioner - Diagnostic Radiology 8224058409 Reassigns benefits to 3 organizations
I20221003000163 FL Practitioner - Diagnostic Radiology 8224058409 Reassigns benefits to 7 organizations

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
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

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 Hospital, Las Cruces, NM, CCN 320018
  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20050716NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince May 19, 2023 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Nov 17, 2022 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Nov 6, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Jul 13, 2023 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jul 11, 2025 Accepting new patients
Sierra Vista Hospital CurrentSince Jul 1, 2023 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Jul 24, 2023 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Aug 28, 2025 Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
Southwestern Radiology Associates, P.a. Diagnostic Radiology PastSince Jul 10, 2011 Accepting new patients
Ochsner Clinic LLC PastSince May 1, 2017 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.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.