Organization Active NPI

Cardiac Care Consultants of NM, PC

  • Cardiovascular Disease Physician
  • Albuquerque, NM
National Provider Identifier
1366577827
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
PT0018282 Issued in NM
Legal business name
CARDIAC CARE CONSULTANTS OF NM, PC
Practice address
4824 McMahon Blvd, NW #115
Albuquerque, NM 87114
Phone
(505) 248-1800
Fax
(505) 248-1917
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Mr. Michael E. Gurule, MD
Title
President
Phone
(505) 248-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X PT0018282 NM Primary

Addresses

Primary practice location

4824 McMahon Blvd, NW #115
Albuquerque, NM 87114

Mailing address

4824 McMahon Blvd, NW #115
Albuquerque, NM 87114
Phone (505) 248-1800

Other identifiers 1

IdentifierTypeStateIssuer
H8665MedicaidNM

National Provider Directory

National Provider Directory

Locations

504 Elm St NE
#N
Albuquerque, NM 87102
Phone (505) 724-2000

715 Martin Luther King Ave NE
Ste 210
Albuquerque, NM 87102

4824 McMahon Blvd NW
Ste 115
Albuquerque, NM 87114
Phone (505) 792-2815

711 Christopher Dr
Belen, NM 87002

3917 West Rd
Ste 101
Los Alamos, NM 87544
Phone (505) 662-7008

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1366577827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD, NW #115",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-248-1800",
            "fax_number": "505-248-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD, NW #115",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-248-1800",
            "fax_number": "505-248-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CARE CONSULTANTS OF NM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-248-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "PT0018282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H8665",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.