NPIMap

Individual provider Active NPI

Radu Butuc, M.D.

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1245579796
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2013-0953 Issued in NM
Practice address
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone
(505) 727-8360
Fax
(505) 727-8768
NPI assigned
Feb 4, 2013
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD2013-0953 NM Primary

Addresses

Primary practice location

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619

Mailing address

4101 Indian School Rd NE Ste 110
Albuquerque, NM 87110-3991
Phone (505) 727-8360

Other practice location 1

1100 Central Ave SE Fl 4
Albuquerque, NM 87106-4930
Phone (505) 724-6124

Other identifiers 1

IdentifierTypeStateIssuer
09822275MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822002102 NM Practitioner - Internal Medicine 7113145715 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111-6022
Phone (206) 823-1004

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2013-0953NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Cura Healthcare Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
WW Healthcare LLC Past Accepting new patients
Lovelace Health System LLC Past Accepting new patients
Canyon Transitional Rehabilitation Center, LLC Past Accepting new patients
Wvupc Medicine Clinic (Lab) Past Accepting new patients
369 Albuquerque Ops LLC Past Accepting new patients
1650 Galisteo Street Operations LLC Past Accepting new patients
PH Ops of Las Estancias LLC Past Accepting new patients

Locations

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

1100 Central Ave SE
Fl 4
Albuquerque, NM 87106
Phone (505) 724-6124

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 292-3333

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

Interoperability endpoints

  • Direct secure messaging: rbutuc469772@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Las Estancias by Pure HealthAlbuquerque,, NM, CCN 325126 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 21, 2024
Sep 21, 2024
Princeton Health and RehabilitationAlbuquerque, NM, CCN 325045 Skilled nursing facility Adp of the SNF Dec 12, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 8

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1245579796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 INDIAN SCHOOL RD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103991",
            "telephone_number": "505-727-8360",
            "fax_number": "505-727-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR MARTIN LUTHER KING JR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023619",
            "telephone_number": "505-727-8360",
            "fax_number": "505-727-8768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Central Ave SE Fl 4",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064930",
            "country_code": "US",
            "telephone_number": "505-724-6124",
            "fax_number": "505-724-6125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTUC",
        "first_name": "RADU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2013-0953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09822275",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.