Individual provider Active NPI

Peter Rosandich, M.D.

  • Rheumatology Physician
  • Albuquerque, NM
National Provider Identifier
1356435747
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD2005-0123 Issued in NM
Practice address
8200 Louisiana Blvd NE
New Mexico Rheumatology LLC
Albuquerque, NM 87113-2105
Phone
(505) 828-2400
Fax
(505) 828-2401
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD2005-0123 NM Primary

Addresses

Primary practice location

8200 Louisiana Blvd NE
New Mexico Rheumatology LLC
Albuquerque, NM 87113-2105

Mailing address

PO Box 93008
New Mexico Rheumatology LLC
Albuquerque, NM 87199-3008
Phone (505) 828-2400

Other identifiers 1

IdentifierTypeStateIssuer
78834295MedicaidNM

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
I20050816000158 NM Practitioner - Rheumatology 2365339702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of California, Davis School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8200 Louisiana Blvd NE
Albuquerque, NM 87113-2105
Phone (505) 828-2400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Rheumatology, LLC Rheumatology CurrentSince Jul 11, 2010 Accepting new patients

Locations

8200 Louisiana Blvd NE
Albuquerque, NM 87113
Phone (505) 268-2481

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1356435747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93008",
            "address_2": "NEW MEXICO RHEUMATOLOGY LLC",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871993008",
            "telephone_number": "505-828-2400",
            "fax_number": "505-828-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 LOUISIANA BLVD NE",
            "address_2": "NEW MEXICO RHEUMATOLOGY LLC",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132105",
            "telephone_number": "505-828-2400",
            "fax_number": "505-828-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSANDICH",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "MD2005-0123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78834295",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.