Giridhar Anireddy, M.D.

Individual provider Active NPI Internal Medicine Physician · Alamogordo, NM

NPI 1366445496 · NPPES record last updated Oct 24, 2013

Key facts

NPI
1366445496
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
NM20020255 (NM)
Practice address
2751 N Scenic Drive
Alamogordo, NM 88310-7829
Phone
(575) 434-2965
Fax
(575) 439-8254
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otero County Hospital Association (245 clinicians)
Alamogordo Internal Medicine P.C. (2 clinicians)

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

2751 N Scenic Dr
Alamogordo, NM 88310-8726
Phone (575) 434-2965

Hospital & facility affiliations

  • Alamogordo Home Health Care & Hospice, Inc Home health agency · Alamogordo, NM · CCN 327015
  • Enhabit Home Health Home health agency · Ruidoso, NM · CCN 327178
  • Christus Southern New Mexico Hospital · Alamogordo, NM · CCN 320004
  • Lincoln County Medical Center Hospital · Ruidoso, NM · CCN 321306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Skin biopsy1-10

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 IDStateProvider typePAC IDDetails
I20040414000653 NM Practitioner - Internal Medicine 0648264317 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22096ALMDPharmacist
NM20020255NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association Current
since Jan 1, 2003
Accepting new patients
Otero County Hospital Association Current
since Jan 1, 2003
Accepting new patients
Alamogordo Internal Medicine P.C. Current
since Sep 23, 2002
Accepting new patients
Vista del Sol Internal Medicine, PA Internal Medicine Past
since Dec 2, 2005
Accepting new patients
Scenic Drive Inpatient Services LLC Past Accepting new patients

Locations

1212 9th St
Ste C
Alamogordo, NM 88310
Phone (505) 434-2965

2751 Scenic Dr
Alamogordo, NM 88310
Phone (575) 288-3216

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NM20020255 NM Yes

Addresses

Primary practice location

2751 N Scenic Drive
Alamogordo, NM 88310-7829

Mailing address

2751 N Scenic Drive
Alamogordo, NM 88310-7829
Phone (575) 434-2965

Other identifiers

IdentifierTypeStateIssuer
40302202MedicaidNM

Other providers in Alamogordo, NM

All providers in Alamogordo, NM · Internal Medicine Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.