Individual provider Active NPI

Michael J. Vendrell, M.D.

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1528044393
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
80-278 Issued in NM
Practice address
4411 The 25 Way NE
#150
Albuquerque, NM 87109-5857
Phone
(651) 245-3950
Fax
(413) 643-4773
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 44127 MN
Diagnostic Radiology Physician 2085R0202X MD00047308 WA
Diagnostic Radiology Physician 2085R0202X 80-278 NM Primary

Addresses

Primary practice location

4411 The 25 Way NE
#150
Albuquerque, NM 87109-5857

Mailing address

4220 Herschel Ave
Apt 809
Dallas, TX 75219-2380
Phone (651) 245-3950

Other identifiers 1

IdentifierTypeStateIssuer
662665300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230302001568 CA Practitioner - Diagnostic Radiology 1557268513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanford Community Hospital 60 clinicians

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000

125 Mall Dr
Suite 305
Hanford, CA 93230-5794
Phone (559) 537-0440

Hospital & facility affiliations

  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
86.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80-278NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Tulare CurrentSince Nov 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Nov 1, 2022 Accepting new patients
Rapidsound Inc CurrentSince Jul 1, 2019 Accepting new patients
Hanford Community Hospital CurrentSince Nov 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Nov 1, 2022 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology Past Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients
MCHS Hospitals, Inc. Past Accepting new patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients
Carilion Franklin Memorial Hospital Past Accepting new patients
Carilion Medical Center Past Accepting new patients
Carilion Giles Community Hospital Past Accepting new patients
Rapidray LLC Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients
Carilion Rockbridge Community Hospital Past Accepting new patients
Carilion New River Valley Medical Center Past Accepting new patients

Locations

450 W Continental Rd
Green Valley, AZ 85622
Phone (520) 393-0965

1825 E Northern Ave
Ste 115
Phoenix, AZ 85020
Phone (520) 625-7670

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

Organizations & group practices 17

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.

View all 17

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1528044393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 HERSCHEL AVE",
            "address_2": "APT 809",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192380",
            "telephone_number": "651-245-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE",
            "address_2": "#150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095857",
            "telephone_number": "651-245-3950",
            "fax_number": "413-643-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDRELL",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "44127",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00047308",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "80-278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "662665300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.