Avelina Bardwell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

82161 Issued in NM

Practice address

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone

(505) 913-6130

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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.

• St Vincent Hospital

  • Pediatrics Physician
  • Santa Fe, NM
  • NPI 1063367803

  NM

  Medicare reassignment Care Compare group
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare group NPD
• St. Vincent Hospital

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1245438647
  Care Compare group NPD
• St Vincent Hospital

  • Community/Retail Pharmacy
  • Santa Fe, NM
  • NPI 1144689514
  Care Compare group
• St Vincent Hospital

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Santa Fe, NM
  • NPI 1508403528
  Care Compare group
• St. Vincent Hospital

  • Psychiatric Hospital Unit
  • Santa Fe, NM
  • NPI 1154477941
  Care Compare group
• St. Vincent Hospital

  • Specialty Pharmacy
  • Santa Fe, NM
  • NPI 1366980427
  Care Compare group
• St. Vincent Hospital

  • Rehabilitation Hospital Unit
  • Santa Fe, NM
  • NPI 1619290111
  Care Compare group
• St. Vincent Hospital

  • Neurology Physician
  • Santa Fe, NM
  • NPI 1831493584
  Care Compare group
• St Vincent Hospital

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1770146391
  NPD
• Los Alamos Physician Practices LLC

  • Family Medicine Physician
  • Los Alamos, NM
  • NPI 1750330510

  Internal Medicine

  NPD (past)
• Milagro Medical Group PC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1548265713
  NPD (past)

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

• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150

  Hospital

  Care Compare affiliation

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

University of North Carolina at Chapel Hill School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Hospital 335 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abardwell164765@christushealth.direct-ci.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2014.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1366469322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-913-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-913-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDWELL",
        "first_name": "AVELINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "82161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara S Van Eeckhout,M.D.,P.C.
• Barbara Salas CNP LLC
• Myrna Barbee-Lee
• Janet Barber, LMSW
• Sanjay Bardwaj, DPT
• Erika Barela
• Jeff Barela, BMS
• Jordyn Barela, RN
• Mosies Barela, YOUTH CARE-BONEM HM
• Patricia Barela, FSS

• All providers in Santa Fe, NM
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.