Sanjay K Kholwadwala, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

97-288 Issued in NM

Practice address

10501 Golf Course Rd NW
Albuquerque, NM 87114-5019

Phone

(505) 727-2050

Fax

(505) 727-2049

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skholwadwala8922@ahs.direct-ci.com

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.

• Healthfront PC

  • Emergency Medicine Physician
  • Santa Fe, NM
  • NPI 1417901612
  Medicare reassignment NPD
• Mesa Emergency Group LLC

  • Emergency Medicine Physician
  • Albuquerque, NM
  • NPI 1912000704
  NPD (past)
• Optumcare New Mexico LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497700330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 PINO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223432",
            "telephone_number": "505-681-9131",
            "fax_number": "505-821-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 GOLF COURSE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145019",
            "telephone_number": "505-727-2050",
            "fax_number": "505-727-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOLWADWALA",
        "first_name": "SANJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "97-288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66369",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salia Khayoumi, DDS
• Tatyana Khazova
• Natalie Kheir
• Arash Kheyraddini Mousavi
• KHG Ortho LLC
• Khoo & Associates Cardiology & Wellness
• Khoo Wellness
• Mani Khoshyomn, M.D.
• Siwhoung Khou
• Yegennalyn Kiamco, BCBA, LBA

• Emergency Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Emergency Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.