Mrunal Tailor, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD2021-0251 Issued in NM

Practice address

8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640

Phone

(505) 998-3096

Fax

(505) 998-3100

NPI assigned

Mar 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NM2 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

Specialty

Diagnostic Radiology

Education

University of South Florida College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

New Mexico Oncology Hematology Consultants LTDGroup PAC ID 3577533447, 66 clinicians

X-Ray Associates of New Mexico PCGroup PAC ID 6709879430, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
• Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
• Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
• Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Mexico Oncology Hematology Consultants, LTD.

  • Hematology & Oncology Physician
  • Albuquerque, NM
  • NPI 1164475232
  Medicare reassignment Care Compare group NPD
• Otero County Hospital Association

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Medicare reassignment Care Compare group NPD
• X-Ray Associates of New Mexico PC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1235105800
  Medicare reassignment Care Compare group NPD
• Cibola General Hospital Corporation

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1215266754
  Medicare reassignment NPD
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304

  NM

  Medicare reassignment NPD
• Carilion Medical Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1730123472

  NM

  Medicare reassignment NPD
• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1174636021

  NM

  Medicare reassignment NPD
• Carilion Tazewell Community Hospital

  • General Acute Care Hospital
  • Tazewell, VA
  • NPI 1427040328

  NM

  Medicare reassignment NPD
• University of California SFGH Medical Group

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1063487122
  Medicare reassignment NPD
• Otero County Hospital Association

  • Community/Retail Pharmacy
  • Alamogordo, NM
  • NPI 1235948803
  NPD
• Carilion Giles Community Hospital

  • Durable Medical Equipment & Medical Supplies
  • Galax, VA
  • NPI 1639980493
  NPD

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

• Otero County Hospital Association

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Care Compare affiliation
• Carilion Franklin Memorial Hospital

  • General Acute Care Hospital
  • Rocky Mount, VA
  • NPI 1710970918
  Care Compare affiliation
• Carilion Medical Center

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Carilion New River Valley Medical Center

  • General Acute Care Hospital
  • Christiansburg, VA
  • NPI 1376536573
  Care Compare affiliation

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1730573239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PL NE STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107640",
            "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 PL NE STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107640",
            "telephone_number": "505-998-3096",
            "fax_number": "505-998-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILOR",
        "first_name": "MRUNAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A167214",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2021-0251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86804537",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Jean Tagtmeyer, LMHC
• Madoka Taguchi
• Mohammad Taha
• Vanessa Tahe, CPNP-PC
• Jo Anna Tahyi, PHYSICAL THERAPIST
• Kara Lyn Tainter
• Sara Janelle Tajiboy
• Amye Elizabeth Takach, PHARM D
• Leslie Takacs, AA-C
• Hideo Takahashi, M.D.

• Diagnostic Radiology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Diagnostic Radiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.