Organization Active NPI

Mayimrapha Comprehensive Healthcare, LLC

Doing business as Mayimrapha Comprehensive Healthcare, Inc

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1457639262
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Dr. Melanie Ukanwa, MDNPI 1114969896
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)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
77671058MedicaidNM
59673079MedicaidNM

Other names 1

  • MAYIMRAPHA COMPREHENSIVE HEALTHCARE, INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000343 NM Part B Supplier - Clinic/Group Practice 7810154044 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.