Hector David Arredondo, M.D.
Individual provider Active NPI Surgery Physician · Albuquerque, NM
NPI 1255411633 · NPPES record last updated Nov 25, 2009
Key facts
- NPI
- 1255411633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 86-5 (NM)
- Practice address
- 201 Cedar St SE
Ste 306
Albuquerque, NM 87106-4917 - Phone
- (505) 563-1000
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091222000690 | NM | Practitioner - General Surgery | 8921148974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86-5 | NM | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Surgery | Current |
Accepting new patients |
Locations
201 Cedar St SE
Ste 306
Albuquerque, NM 87106
Phone (505) 247-3635
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- harredondo29694@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 86-5 | NM | Yes |
Addresses
Primary practice location
201 Cedar St SE
Ste 306
Albuquerque, NM 87106-4917
Mailing address
201 Cedar St SE
Ste 306
Albuquerque, NM 87106-4917
Phone (505) 563-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000037838 | Medicaid | NM |
Other providers in Albuquerque, NM
- Madhu Arora
- Prajit Arora
- Sanjeev Arora
- Carolyn Arredondo
- Elizabeth J Arredondo
- Dalila Arreola
- Perla Arreola
- Victor Manuel Arrey
- Marlin Arriaga
- Miriam Arriaga
All providers in Albuquerque, NM · Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.