NPIMap

Individual provider Active NPI

Adrian Renaldi, DO

  • Internal Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1275099699
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO2022-0006 Issued in NM
Practice address
184 Unser Blvd NE Ste B
Rio Rancho, NM 87124-4045
Phone
(505) 896-0928
NPI assigned
Feb 11, 2019
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 7031 OK
Internal Medicine Physician 207R00000X DO2022-0006 NM Primary

Addresses

Primary practice location

184 Unser Blvd NE Ste B
Rio Rancho, NM 87124-4045

Mailing address

184 Unser Blvd NE Ste B
Rio Rancho, NM 87124-4045
Phone (505) 896-0928

Other practice location 1

1300 Enterprise Rd
Socorro, NM 87801-4199
Phone (575) 835-4444

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
I20220709000923 NM Practitioner - Internal Medicine 7911390430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565

184 Unser Blvd NE
Rio Rancho, NM 87124-4045
Phone (505) 994-1640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7031OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Sep 5, 2022 Accepting new patients
Presbyterian Medical Services CurrentSince Sep 5, 2022 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services Past Accepting new patients

Locations

184 Unser Blvd NE
Ste B
Rio Rancho, NM 87124
Phone (505) 896-0928

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

1300 Enterprise Rd
Socorro, NM 87801
Phone (575) 418-8591

Interoperability endpoints

  • Direct secure messaging: adrian.renaldi.p1@direct.pmsnm.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1275099699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 UNSER BLVD NE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244045",
            "telephone_number": "505-896-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 UNSER BLVD NE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244045",
            "telephone_number": "505-896-0928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Enterprise Rd",
            "address_purpose": "LOCATION",
            "city": "Socorro",
            "state": "NM",
            "postal_code": "878014199",
            "country_code": "US",
            "telephone_number": "575-835-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENALDI",
        "first_name": "ADRIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "7031",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "DO2022-0006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.