Individual provider Active NPI

Alwyn Ajitraj Koil, M.D.

  • Pediatrics Physician
  • Albuquerque, NM
National Provider Identifier
1487714804
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2003-0567 Issued in NM
Practice address
8308 Constitution PL NE
Albuquerque, NM 87110-7637
Phone
(505) 883-9570
Fax
(505) 883-4163
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2003-0567 NM Primary

Addresses

Primary practice location

8308 Constitution PL NE
Albuquerque, NM 87110-7637

Mailing address

8308 Constitution PL NE
Albuquerque, NM 87110-7637
Phone (505) 883-9570

Other practice location 1

9201 Montgomery Blvd NE
Suite 201
Albuquerque, NM 87111-2468
Phone (505) 298-2505

Other practice location 2

2411 Cabezon Blvd SE Ste 103
Rio Rancho, NM 87124-1514
Phone (505) 883-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003-0567NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Pediatrics PC Past Accepting new patients
After Hours Pediatrics PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20790/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alwyn.koil.1@20790.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1487714804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 CONSTITUTION PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107637",
            "telephone_number": "505-883-9570",
            "fax_number": "505-883-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 CONSTITUTION PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107637",
            "telephone_number": "505-883-9570",
            "fax_number": "505-883-4163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 Montgomery Blvd NE",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112468",
            "country_code": "US",
            "telephone_number": "505-298-2505",
            "fax_number": "505-298-2985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 Cabezon Blvd SE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241514",
            "country_code": "US",
            "telephone_number": "505-883-9570",
            "fax_number": "505-883-4163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOIL",
        "first_name": "ALWYN",
        "middle_name": "AJITRAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "2003-0567",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.