Individual provider Active NPI

Grace Nadell, MD

  • Pediatrics Physician
  • Santa Fe, NM
National Provider Identifier
1285641498
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
97-113 Issued in NM
Practice address
5501 Herrera Contenta
Santa Fe, NM 87507
Phone
(505) 913-3233
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 97-113 NM Primary

Addresses

Primary practice location

5501 Herrera Contenta
Santa Fe, NM 87507

Mailing address

5501 Herrera Contenta
Santa Fe, NM 87507

Other identifiers 1

IdentifierTypeStateIssuer
R7534MedicaidNM

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
I20130726000504 NM Practitioner - Pediatric Medicine 0345481701 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital Current Accepting new patients
St. Vincent Hospital CurrentSince Jun 1, 2013 Accepting new patients
St. Vincent Hospital CurrentSince Jun 1, 2013 Accepting new patients
Unm Medical Group Inc Past Accepting new patients

Locations

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

1631 Hospital Dr
Ste 100
Santa Fe, NM 87505
Phone (505) 955-8420

440 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-5227

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

2590 Camino Entrada
#A
Santa Fe, NM 87507
Phone (505) 913-3300

5501 Herrera Dr
Santa Fe, NM 87507
Phone (505) 913-3233

5501 Herrera Dr
Ste A
Santa Fe, NM 87507
Phone (505) 913-3233

Interoperability endpoints

  • Direct secure messaging: gnadell164681@christushealth.direct-ci.net

Organizations & group practices 5

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": "1465171200000",
    "number": "1285641498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 HERRERA CONTENTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 HERRERA CONTENTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-913-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADELL",
        "first_name": "GRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "97-113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R7534",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.