Individual provider Active NPI

Anju Manral, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1346439254
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
MD2007-0736 Issued in NM
Practice address
8100 Constitution PL NE Ste 400
Albuquerque, NM 87110-7644
Phone
(505) 559-1122
Fax
(505) 559-6067
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2007-0736 NM
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X MD2007-0736 NM Primary

Addresses

Primary practice location

8100 Constitution PL NE Ste 400
Albuquerque, NM 87110-7644

Mailing address

PO Box 26666
Albuquerque, NM 87125-6666
Phone (505) 923-5361

Other names 1

  • Anju Jain Other name

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
I20080407000474 NM Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8921185513 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Single Specialty CurrentSince Feb 3, 2025 Accepting new patients
KND Development 59 LLC Single Specialty CurrentSince Mar 1, 2012 Accepting new patients
KND Development 59, LLC CurrentSince Mar 1, 2012 Accepting new patients
Unm Medical Group Inc Single Specialty CurrentSince Aug 17, 2012 Accepting new patients
Unm Medical Group, Inc. CurrentSince Aug 17, 2012 Accepting new patients
Presbyterian Healthcare Services Single Specialty CurrentSince Feb 3, 2025 Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

8100 Constitution Pl NE
Ste 400
Albuquerque, NM 87110
Phone (505) 559-1122

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

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

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: amanral29759@direct.phs.org

Organizations & group practices 8

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1346439254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 CONSTITUTION PL NE STE 400",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107644",
            "telephone_number": "505-559-1122",
            "fax_number": "505-559-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRAL",
        "first_name": "ANJU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2007-0736",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NM",
            "license": "MD2007-0736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJU",
            "last_name": "JAIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.