Active NPI
Home Dialysis of New Mexico, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Albuquerque, NM
National Provider Identifier
1457638595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HOME DIALYSIS OF NEW MEXICO, LLC
- Practice address
- 700 Lomas Blvd NE
Three Woodward Center
Albuquerque, NM 87102-2568 - Phone
- (505) 842-5210
- NPI assigned
- Nov 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Biju Cherian, M.D.
- Title
- Partner
- Phone
- (505) 842-5210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
700 Lomas Blvd NE
Three Woodward Center
Albuquerque, NM 87102-2568
Mailing address
700 Lomas Blvd NE
Three Woodward Center
Albuquerque, NM 87102-2568
Phone (505) 842-5210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72133287 | Medicaid | NM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Albuquerque, NM
- NPI 1134141260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444953600000",
"number": "1457638595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LOMAS BLVD NE",
"address_2": "THREE WOODWARD CENTER",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022568",
"telephone_number": "505-842-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LOMAS BLVD NE",
"address_2": "THREE WOODWARD CENTER",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022568",
"telephone_number": "505-842-5210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME DIALYSIS OF NEW MEXICO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-03",
"last_updated": "2015-10-16",
"status": "A",
"authorized_official_last_name": "CHERIAN",
"authorized_official_first_name": "BIJU",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "505-842-5210",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72133287",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Kimberly Holyfield
- Anthony James Holzgang, MD
- Kathleen Michelle Holzman
- Sarah Holznagel, B,S, IN SOCIAL PSYCH
- Jennifer Holzwarth, PHYSICIANS ASSISTANT
- Home Health Innovations, Inc.
- Home Health of New Mexico
- Home Helpers
- Home Medical Equipment Specialists LLC (HME Specialists, LLC)
- Home Medical Equipment Specialists LLC (HIT Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.