NPIMap

Organization Active NPI

New Mexico Orthopaedic Associates PC

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1407898299
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEW MEXICO ORTHOPAEDIC ASSOCIATES PC
Practice address
2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412
Phone
(505) 724-4300
Fax
(505) 724-4384
NPI assigned
Jun 13, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Dr. Jeffrey W Racca, M.D.NPI 1083641807
Title
President
Phone
(505) 724-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Hand Surgery Physician 207XS0106X NU
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X NU
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X NU
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU
Physical Medicine & Rehabilitation Physician 208100000X NU

Addresses

Primary practice location

2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412

Mailing address

2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412
Phone (505) 724-4300

Other identifiers 2

IdentifierTypeStateIssuer
00048306MedicaidNM
5369920001OtherNMMEDICARE NSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001250 NM Part B Supplier - Clinic/Group Practice 1759270713 Receives reassigned benefits from 106 practitioners
Practice locations: Albuquerque, NM; Rio Rancho, NM

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2100 Louisiana Blvd NE
Ste 410
Albuquerque, NM 87110
Phone (505) 724-4300

1201 Rio Rancho Blvd SE
Ste E
Rio Rancho, NM 87124
Phone (505) 892-3520

Interoperability endpoints

  • Direct secure messaging: andrewschannen@direct.nmoccda.com
  • Direct secure messaging: arnoldkiburz@direct.nmoccda.com
  • Direct secure messaging: carlgilmore@direct.nmoccda.com
  • Direct secure messaging: chadseidenstricker@direct.nmoccda.com
  • Direct secure messaging: christopherpatton@direct.nmoccda.com
  • Direct secure messaging: danieljunick@direct.nmoccda.com
  • Direct secure messaging: donnielujan@direct.nmoccda.com
  • Direct secure messaging: douglasallen@direct.nmoccda.com
  • Direct secure messaging: drewnewhoff@direct.nmoccda.com
  • Direct secure messaging: ericbenson@direct.nmoccda.com
  • Direct secure messaging: ericchapman@direct.nmoccda.com
  • Direct secure messaging: ernestooterolopez@direct.nmoccda.com
  • Direct secure messaging: evanknaus@direct.nmoccda.com
  • Direct secure messaging: ianburtenshaw@direct.nmoccda.com
  • Direct secure messaging: ianpower@direct.nmoccda.com
  • Direct secure messaging: jeffreyracca@direct.nmoccda.com
  • Direct secure messaging: johnfranco@direct.nmoccda.com
  • Direct secure messaging: joshuacarothers@direct.nmoccda.com
  • Direct secure messaging: justinaverna@direct.nmoccda.com
  • Direct secure messaging: karibabinski@direct.nmoccda.com

Practitioners & affiliated clinicians

Practitioners 126

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1407898299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LOUISIANA BLVD NE STE 410",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105412",
            "telephone_number": "505-724-4300",
            "fax_number": "505-724-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LOUISIANA BLVD NE STE 410",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105412",
            "telephone_number": "505-724-4300",
            "fax_number": "505-724-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO ORTHOPAEDIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "RACCA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-724-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00048306",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "5369920001",
            "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 Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.