Active NPI
Mayimrapha Comprehensive Healthcare, LLC
Doing business as Mayimrapha Comprehensive Healthcare, Inc
- Family Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC
- Practice address
- 4253 Montgomery Blvd NE Ste 220
Albuquerque, NM 87109-1130 - Phone
- (505) 881-5307
- Fax
- (505) 908-3816
- NPI assigned
- Jul 27, 2011
- Last updated
- Oct 24, 2025
- 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. Melanie Ukanwa, MD
- Title
- Owner/Physician Provider
- Phone
- (505) 881-5307
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
4253 Montgomery Blvd NE Ste 220
Albuquerque, NM 87109-1130
Mailing address
PO Box 27453
Albuquerque, NM 87125-7453
Phone (505) 881-5307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77671058 | Medicaid | NM | |
| 59673079 | Medicaid | NM |
Other names 1
- MAYIMRAPHA COMPREHENSIVE HEALTHCARE, INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120131000343 | NM | Part B Supplier - Clinic/Group Practice | 7810154044 | Practice locations: Albuquerque, NM |
National Provider Directory
National Provider DirectoryLocations
4233 Montgomery Blvd NE
Ste 100
Albuquerque, NM 87109
Phone (505) 881-5307
4253 Montgomery Blvd NE
Ste 130
Albuquerque, NM 87109
Phone (505) 658-1392
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1114969896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1457639262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27453",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871257453",
"telephone_number": "505-881-5307",
"fax_number": "505-908-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4253 MONTGOMERY BLVD NE STE 220",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091130",
"telephone_number": "505-881-5307",
"fax_number": "505-908-3816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-27",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "UKANWA",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN PROVIDER",
"authorized_official_telephone_number": "505-881-5307",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77671058",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59673079",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mayimrapha Comprehensive Healthcare, Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mayimrapha Comprehensive Healthcare, Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MAYIMRAPHA COMPREHENSIVE HEALTHCARE, INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Oct 24, 2025; 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.