Individual provider Active NPI

Martha F Terrazas

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1700229523
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2019-0202 Issued in NM
Practice address
MSC 10 5530 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone
(505) 272-2269
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036.146054 IL
Student in an Organized Health Care Education/Training Program 390200000X RS12345 NM
Diagnostic Radiology Physician 2085R0202X MD2019-0202 NM Primary

Addresses

Primary practice location

MSC 10 5530 1 University of New Mexico
Albuquerque, NM 87131-0001

Mailing address

680 N Lake Shore Dr Ste 1000
Chicago, IL 60611-8709
Phone (312) 695-5753

Other practice location 1

676 N Saint Clair St Ste 800
Chicago, IL 60611
Phone (312) 695-4447

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605001709 NM Practitioner - Diagnostic Radiology 5496989758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11101 Richfield Ave NE
Albuquerque, NM 87122-4166
Phone (505) 235-0323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS12345NMMDNephrology Physician
036.146054ILMDDiagnostic Radiology Physician
MD2019-0202NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince Mar 14, 2022 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations (25 of 48)

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 686-0105

33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

33355 Health Campus Blvd
Avon, OH 44011
Phone (330) 670-0460

450 Avon Belden Rd
Avon Lake, OH 44012
Phone (440) 930-6800

3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

3574 Center Rd
Brunswick, OH 44212
Phone (330) 225-8886

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

354 W Main Rd
Conneaut, OH 44030
Phone (440) 599-2262

4389 Medina Rd
Copley, OH 44321
Phone (234) 678-9332

330 Broadway St E
Cuyahoga Fls, OH 44221
Phone (330) 436-0910

303 Chestnut Commons Dr
Elyria, OH 44035
Phone (440) 204-7823

99 Northline Cir
Ste 100
Euclid, OH 44119
Phone (216) 692-7750

762 S Cleveland Massillon Rd
Fairlawn, OH 44333
Phone (330) 665-4100

20455 Lorain Rd
Ste 301
Fairview Park, OH 44126
Phone (216) 476-6961

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

12000 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 261-7970

5555 Transportation Blvd
Garfield Hts, OH 44125
Phone (216) 518-3444

1940 Town Park Blvd
Green, OH 44685
Phone (330) 869-5010

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1700229523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606118709",
            "telephone_number": "312-695-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC 10 5530 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60611",
            "country_code": "US",
            "telephone_number": "312-695-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRAZAS",
        "first_name": "MARTHA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.146054",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS12345",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2019-0202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.