Individual provider Active NPI

Alexander Patrick Lorusso, MD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1548236102
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2001246 Issued in NM
Practice address
8020 Constitution Place NE
#101
Albuquerque, NM 87110
Phone
(505) 998-1317
Fax
(505) 998-1308
NPI assigned
Feb 24, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2001246 NM Primary

Addresses

Primary practice location

8020 Constitution Place NE
#101
Albuquerque, NM 87110

Mailing address

8020 Constitution Place NE
#202
Albuquerque, NM 87110
Phone (505) 998-3096

Other identifiers 2

IdentifierTypeStateIssuer
15281248MedicaidNM
942492MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051010000618 NM Practitioner - Diagnostic Radiology 9739154360 Reassigns benefits to 7 organizations
I20260325001424 CO Practitioner - Diagnostic Radiology 9739154360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
X-Ray Associates of New Mexico PCGroup PAC ID 6709879430, 53 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
New Mexico Oncology Hematology Consultants LTDGroup PAC ID 3577533447, 66 clinicians

Practice addresses (Care Compare)

15 Kubler St
Crested Butte, CO 81224-8002
Phone (505) 559-5629

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

4901 Lang Ave NE
New Mexico Cancer Center
Albuquerque, NM 87109-4397
Phone (505) 842-8171

8020 Constitution PL NE
Suite 101
Albuquerque, NM 87110-7638
Phone (505) 998-1317

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001246NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince Nov 1, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Dec 25, 2011 Accepting new patients
X-Ray Associates of New Mexico PC Diagnostic Radiology CurrentSince Jul 21, 2005 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Cibola General Hospital Corporation CurrentSince Aug 1, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
KND Development 59, LLC CurrentSince Dec 25, 2011 Accepting new patients
Artesia General Hospital Past Accepting new patients

Locations

2539 Medical Dr
Ste 101
Alamogordo, NM 88310
Phone (505) 434-1353

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

5800 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 998-1911

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

8020 Constitution Pl NE
Ste 101
Albuquerque, NM 87110
Phone (505) 998-1317

8020 Constitution Pl NE
Ste 202
Albuquerque, NM 87110
Phone (505) 559-5628

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

4200 Beckner Rd
Santa Fe, NM 87507
Phone (505) 477-2200

490A W Zia Rd
Santa Fe, NM 87505
Phone (505) 913-8900

Organizations & group practices 9

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 3

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1548236102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PLACE NE",
            "address_2": "#202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-998-3096",
            "fax_number": "505-998-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PLACE NE",
            "address_2": "#101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-998-1317",
            "fax_number": "505-998-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORUSSO",
        "first_name": "ALEXANDER",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "2001246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15281248",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942492",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.