Active NPI
Mohammad I. Al-Raie, P.A.
- Medical Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2011-0027
- Practice address
- 8200 Central Ave SE
Albuquerque, NM 87108-2408 - Phone
- (505) 272-5885
- Fax
- (505) 272-5888
- NPI assigned
- Nov 17, 2011
- Last updated
- Jun 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2011-0027 | NM | Primary |
Addresses
Primary practice location
8200 Central Ave SE
Albuquerque, NM 87108-2408
Mailing address
711 Encino PL NE Ste D
Albuquerque, NM 87102-2650
Phone (505) 224-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27782093 | Medicaid | NM |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of New Mexico School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1108 US Route 66 W
Moriarty, NM 87035-1006
Phone (505) 281-5180
11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796
Phone (505) 281-5180
1901 Juan Tabo Blvd NE
Albuquerque, NM 87112-3303
Phone (505) 281-5180
7200 Montgomery Blvd NE
Suite 7121
Albuquerque, NM 87109-1510
Phone (505) 281-5180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| McLeod Medical Centers of NM, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333
1648 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 585-0085
1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200
4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123
7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995
12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463
517 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 326-2255
1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070
Interoperability endpoints
- mohammad.al-raie.1@27050.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.
-
dba Duke City Primary Care
- Family Medicine Physician
- Cedar Crest, NM
- NPI 1700393782
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1790185577
-
dba Rio Grande Family Medicine
- Family Medicine Physician
- Albuquerque, NM
- NPI 1164646600
-
dba Duke City Primary Care
- Family Medicine Physician
- Cedar Crest, NM
- NPI 1215580832
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1629345848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 ENCINO PL NE STE D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022650",
"telephone_number": "505-224-7400",
"fax_number": "505-224-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082408",
"telephone_number": "505-272-5885",
"fax_number": "505-272-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-RAIE",
"first_name": "MOHAMMAD",
"middle_name": "I.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "PA2011-0027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27782093",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.