Individual provider Active NPI

Neal E Rakov, MD

  • Gastroenterology Physician
  • Albuquerque, NM
National Provider Identifier
1528006806
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
89-90 Issued in NM
Practice address
933 Bradbury Dr SE Ste 2222
Albuquerque, NM 87106-4375
Phone
(505) 272-3120
Fax
(505) 272-8060
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME73295 FL
Gastroenterology Physician 207RG0100X 89-90 NM Primary

Addresses

Primary practice location

933 Bradbury Dr SE Ste 2222
Albuquerque, NM 87106-4375

Mailing address

91550 Overseas Highway
Suite 215
Tavernier, FL 33070-2141
Phone (305) 852-9400

Other identifiers 3

IdentifierTypeStateIssuer
41544OtherFLBLUE CROSS BLUE SHIELD
252372800MedicaidFL
850372521OtherFLCHAMPUS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180102000251 NM Practitioner - GastroenterologyPractitioner - Internal Medicine 8729153200 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3917 W Rd
Suite 125
Los Alamos, NM 87544-2275
Phone (505) 661-9533

3917 W Rd
Suite 137
Los Alamos, NM 87544-5307
Phone (505) 661-9526

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy62
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73295FLMDGastroenterology Physician
89-90NMMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jul 19, 2021 Accepting new patients
NNM Gastroenterology Associates PA CurrentSince Jan 1, 2018 Accepting new patients
Los Alamos Physician Practices LLC CurrentSince Nov 1, 2023 Accepting new patients
Unm Medical Group, Inc. CurrentSince Dec 18, 2018 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 19, 2021 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Nov 1, 2023 Accepting new patients
Unm Medical Group Inc CurrentSince Dec 18, 2018 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

1100 Lead Ave SE
Albuquerque, NM 87106
Phone (505) 224-7000

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

3917 West Rd
Ste 200
Los Alamos, NM 87544
Phone (505) 309-0870

3917 West Rd
Ste 250
Los Alamos, NM 87544
Phone (505) 661-4147

1691 Galisteo St
Ste C
Santa Fe, NM 87505
Phone (505) 983-5631

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: qot3743@yourcarecommunity.org
  • Direct secure messaging: neal.rakov.1@19849.direct.athenahealth.com

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1528006806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91550 OVERSEAS HIGHWAY",
            "address_2": "SUITE 215",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702141",
            "telephone_number": "305-852-9400",
            "fax_number": "305-852-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE STE 2222",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064375",
            "telephone_number": "505-272-3120",
            "fax_number": "505-272-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOV",
        "first_name": "NEAL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME73295",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "89-90",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41544",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252372800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "850372521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.