Alamogordo Internal Medicine P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20020255 Issued in NM

Legal business name

ALAMOGORDO INTERNAL MEDICINE P.C.

Practice address

2751 Scenic Dr
Alamogordo, NM 88310-8726

Phone

(575) 434-2965

Fax

(575) 439-8254

NPI assigned

Jun 30, 2006

Organization subpart

No

Name

Dr. Giridhar Reddy Anireddy, M.D.NPI 1366445496

Title

President

Phone

(575) 434-2965

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

• Giridhar Anireddy, M.D.

  • Internal Medicine Physician
  • Alamogordo, NM
  • NPI 1366445496
  Medicare reassignment Care Compare group NPD Authorized official NM
• Sarojana Hanumandla, M.D.

  • Internal Medicine Physician
  • Alamogordo, NM
  • NPI 1952304081
  Medicare reassignment Care Compare group NPD NM

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in NM

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2019.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1477581031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108726",
            "telephone_number": "575-434-2965",
            "fax_number": "575-439-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108726",
            "telephone_number": "575-434-2965",
            "fax_number": "575-439-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMOGORDO INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ANIREDDY",
        "authorized_official_first_name": "GIRIDHAR",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-434-2965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "20020255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62281305",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Alamogordo, NM
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.