Individual provider Active NPI

Ran Bang, MD

  • Dermatology Physician
  • Albuquerque, NM
National Provider Identifier
1194731893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
98-217 Issued in NM
Practice address
1021 Medical Arts Ave NE
Medical Arts Center
Albuquerque, NM 87102-2708
Phone
(505) 272-6222
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 98-217 NM Primary

Addresses

Primary practice location

1021 Medical Arts Ave NE
Medical Arts Center
Albuquerque, NM 87102-2708

Mailing address

1021 Medical Arts Ave NE
Msc07 4240
Albuquerque, NM 87102-2708
Phone (505) 272-6222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000621 NM Practitioner - Dermatology 7416049341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8016 Constitution PL NE
Albuquerque, NM 87110-7628
Phone (505) 508-4309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Dermatology LLC CurrentSince Sep 9, 2019 Accepting new patients
Unm Medical Group Inc Past Accepting new patients
University Physician Associates Past Accepting new patients

Locations

8016 Constitution Pl NE
Albuquerque, NM 87110
Phone (505) 293-0009

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194731893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MEDICAL ARTS AVE NE",
            "address_2": "MSC07 4240",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022708",
            "telephone_number": "505-272-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MEDICAL ARTS AVE NE",
            "address_2": "MEDICAL ARTS CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022708",
            "telephone_number": "505-272-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "RAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "98-217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.