Razan Hani Alkhouri, M.D.
Individual provider Active NPI Pediatric Gastroenterology Physician · Albuquerque, NM
NPI 1356584486 · NPPES record last updated Dec 1, 2024
Key facts
- NPI
- 1356584486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Gastroenterology Physician 2080P0206X
- License
- MD2016-0320 (NM)
- Practice address
- 201 Cedar St SE Ste 4660
Albuquerque, NM 87106-4924 - Phone
- (505) 563-6530
- NPI assigned
- Apr 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160812000778 | NM | Practitioner - Pediatric Medicine |
3375798200 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2016-0320 | NM | MD | Pediatric Gastroenterology Physician |
| 267765 | NY | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Past |
Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
201 Cedar St SE
Ste 4660
Albuquerque, NM 87106
Phone (505) 563-6530
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 267765 | NY | |
| Pediatric Gastroenterology Physician | 2080P0206X | MD2016-0320 | NM | Yes |
Addresses
Primary practice location
201 Cedar St SE Ste 4660
Albuquerque, NM 87106-4924
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu |
Other providers in Albuquerque, NM
- Isaiah Alirez
- Kathleen Alirez
- Alive Inc.
- Aliviar Counseling Services, Inc
- Hamza Alkasasbeh
- Randy Gail Alkire
- Liat Alkon
- Mohammed H. Alkubeysi
- All 4 8'S PC
- All 4 You Home Care Corp
All providers in Albuquerque, NM · Pediatric Gastroenterology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.