NPIMap

Individual provider Active NPI

Michael Adjei-Poku, MD

  • Cardiovascular Disease Physician
  • Albuquerque, NM
National Provider Identifier
1528050465
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD2020-1152 Issued in NM
Practice address
502 Elm St NE
Albuquerque, NM 87102-2512
Phone
(505) 841-1000
Fax
(505) 247-2643
NPI assigned
Aug 17, 2005
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 293409-1205 UT
Cardiovascular Disease Physician 207RC0000X MD2020-1152 NM Primary

Addresses

Primary practice location

502 Elm St NE
Albuquerque, NM 87102-2512

Mailing address

502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051008000117 UT Practitioner - Cardiovascular Disease (Cardiology) 2769407725 Reassigns benefits to 2 organizations
I20210112001764 NM Practitioner - Cardiovascular Disease (Cardiology) 2769407725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2020-1152NMMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince Feb 8, 2021 Accepting new patients
University of Utah Pediatric Services CurrentSince Oct 15, 2019 Accepting new patients
Unm Medical Group, Inc. CurrentSince Feb 18, 2022 Accepting new patients
University of Utah Pediatric Services CurrentSince Oct 15, 2019 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince Feb 8, 2021 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2016 Accepting new patients
Unm Medical Group Inc CurrentSince Feb 18, 2022 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2016 Accepting new patients
Htiphysician Services Business Office Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

10511 Golf Course Rd NW
Ste 104
Albuquerque, NM 87114
Phone (505) 727-2116

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

4801 McMahon Blvd NW
Albuquerque, NM 87114
Phone (505) 554-1734

502 Elm St NE
Albuquerque, NM 87102

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

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

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: madjeipoku330770@ahs.direct-ci.com

Organizations & group practices 12

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 7

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1528050465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-247-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-247-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADJEI-POKU",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "293409-1205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2020-1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.