Rene Joukhadar, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD2012-0051 Issued in NM

Practice address

2904 Hillrise Dr
Las Cruces, NM 88011-4702

Phone

(575) 222-4074

Fax

(575) 222-4078

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

EndocrinologyAlso: Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Medical Clinic LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Cruces, NM
  • NPI 1235686403
  Medicare reassignment NPD Authorized official
• Associated Cardiology Consultants of New Mexico

  • Cardiovascular Disease Physician
  • Las Cruces, NM
  • NPI 1609960624
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1306044839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114702",
            "telephone_number": "575-222-4074",
            "fax_number": "575-222-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114702",
            "telephone_number": "575-222-4074",
            "fax_number": "575-222-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUKHADAR",
        "first_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NM",
            "license": "MD2012-0051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B. Furlong, P.a.
• Joseph C Yaroch MD LLC
• Oluwabunmi Joseph, PHARMD
• Bipul Joshi
• Joshua L Elliss DMD LLC
• Meunghee Joung, D.D.S.
• Journey Health Technologies U.S. Inc.
• Joy Tucker Trigo DDS Inc.
• Jaqueline Joyce
• Jeffrey J Joyce, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.