Michael Adjei-Poku, MD
Individual provider Active NPI Cardiovascular Disease Physician · Albuquerque, NM
NPI 1528050465 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1528050465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD2020-1152 (NM)
- Practice address
- 502 Elm St NE
Albuquerque, NM 87102-2512 - Phone
- (505) 841-1000
- Fax
- (505) 247-2643
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Medical Associates, LLC
Practice addresses (Care Compare)
502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000
Hospital & facility affiliations
- Lovelace Medical Center
- Lovelace Westside Hospital
- Lovelace Women'S Hospital
- Presbyterian Hospital
- Unm Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051008000117 | UT | Practitioner - Cardiovascular Disease (Cardiology) | 2769407725 | Reassigns benefits to 2 organizations |
| I20210112001764 | NM | Practitioner - Cardiovascular Disease (Cardiology) | 2769407725 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293409-1205 | UT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Pediatric Services | Current |
Accepting new patients | |
| Southwest Medical Associates, LLC | Current |
Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current |
Accepting new patients | |
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients | |
| Htiphysician Services Business Office | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
502 Elm St NE
Albuquerque, NM 87102
10511 Golf Course Rd NW
Ste 104
Albuquerque, NM 87114
Phone (505) 727-2116
4801 McMahon Blvd NW
Albuquerque, NM 87114
Phone (505) 554-1734
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
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
Interoperability endpoints
- madjeipoku330770@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 293409-1205 | UT | |
| Cardiovascular Disease Physician | 207RC0000X | MD2020-1152 | NM | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D2488 | Medicaid | UT |
Other providers in Albuquerque, NM
- Adelante Development Center, Inc.
- Leanne M Adell
- Marty Adelman
- Rachel Adent
- Chudi N Adi
- Yaw Amaning Adjei-Poku
- Denise Adkins
- Jamie Adkins
- Jeanelle Adkins
- Melissa Jeanette Adkins
All providers in Albuquerque, NM · Cardiovascular Disease Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.