Individual provider Active NPI

David Buchwald, M.D.

  • Nephrology Physician
  • Albuquerque, NM
National Provider Identifier
1649278672
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
81-168 Issued in NM
Practice address
5852 Mesa Vista TRL NW
Albuquerque, NM 87120-3297
Phone
(505) 898-1673
NPI assigned
Jul 13, 2005
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 81-168 NM Primary

Addresses

Primary practice location

5852 Mesa Vista TRL NW
Albuquerque, NM 87120-3297

Mailing address

5852 Mesa Vista TRL NW
Albuquerque, NM 87120-3297
Phone (505) 898-1673

Other identifiers 4

IdentifierTypeStateIssuer
1649278672MedicaidNM
1263238-04MedicaidTX
16492768672MedicaidNM
G1464OtherNMCONSULTEC/GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1649278672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5852 MESA VISTA TRL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203297",
            "telephone_number": "505-898-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5852 MESA VISTA TRL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203297",
            "telephone_number": "505-898-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHWALD",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "81-168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649278672",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1263238-04",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16492768672",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSULTEC/GROUP #",
            "identifier": "G1464",
            "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 Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.