Khadija Ahmad Mamsa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2013-0171 Issued in NM

Practice address

2420 W Pierce St
Suite 205
Carlsbad, NM 88220-3543

Phone

(575) 234-9692

Fax

(575) 887-5237

NPI assigned

Feb 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ambercare Home Health Home health agency, Belen, NM, CCN 327123
• Harmony Home Health Services, LLC Home health agency, Albuquerque, NM, CCN 327187
• La Vita Bella Home Health, LLC Home health agency, Rio Rancho, NM, CCN 327234
• Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074
• Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
• Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
• Lovelace Unm Rehabilitation Hospital Inpatient rehabilitation facility, Albuquerque, NM, CCN 323028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmamsa703647@ahs.direct-ci.com
• Direct secure messaging: khadija.mamsa.1@1739.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Medical Associates, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1164491072
  Medicare reassignment Care Compare group NPD
• Southwest Medical Associates, LLC

  • Rural Health Clinic/Center
  • Roswell, NM
  • NPI 1578255253
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ambercare Home Health Care Corporation

  • Home Health Agency
  • Belen, NM
  • NPI 1336117621
  Care Compare affiliation
• Harmony Home Health Services, LLC

  • Home Health Agency
  • Albuquerque, NM
  • NPI 1205980240
  Care Compare affiliation
• La Vita Bella Home Health LLC

  • Home Health Agency
  • Rio Rancho, NM
  • NPI 1821599226
  Care Compare affiliation
• Lovelace Health System LLC

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1306914213
  Care Compare affiliation
• Lovelace Health System, LLC

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1649373887
  Care Compare affiliation
• Lovelace Health System, LLC

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1982799375
  Care Compare affiliation
• Lovelace Unm Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Albuquerque, NM
  • NPI 1700325677

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1669744868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST STE 205",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203518",
            "telephone_number": "575-234-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST",
            "address_2": "SUITE 205",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203543",
            "telephone_number": "575-234-9692",
            "fax_number": "575-887-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMSA",
        "first_name": "KHADIJA",
        "middle_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2013-0171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12080845",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khadija.mamsa.1@1739.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amr-direct address",
            "address_1": "2420 W Pierce St",
            "address_2": "Suite 205",
            "city": "Carlsbad",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882203543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Keith Madry, DDS
• Molly Magee-Ivie, LISW
• Paul M Mailander, MD, MS
• Kristen R Maley
• Donald Walter Malone, M.D.
• Aurelia Marquez
• Tamara N Marrujo, PTA
• Marshall G Baca MD PC
• Kelley D Martin-Rodriguez, LISW
• Susan Lynn Martin, LMSW

• Internal Medicine Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.