NPIMap

Organization Active NPI

Southwest Kidney Care, LLC

  • Nephrology Physician
  • Albuquerque, NM
National Provider Identifier
1730795501
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTHWEST KIDNEY CARE, LLC
Practice address
5981 Jefferson St NE Ste a
Albuquerque, NM 87109-3457
Phone
(505) 370-9600
Fax
(505) 355-0566
NPI assigned
Sep 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Dr. Biju Cherian, MDNPI 1437195369
Title
Treasurer/Owner
Phone
(505) 370-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

5981 Jefferson St NE Ste a
Albuquerque, NM 87109-3457

Mailing address

PO Box 22566
Santa Fe, NM 87502-2566
Phone (505) 370-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201005001807 NM Part B Supplier - Clinic/Group Practice 2860811262 Receives reassigned benefits from 9 practitioners
Practice locations: Albuquerque, NM; Rio Rancho, NM; Roswell, NM; Taos, NM

National Provider Directory

National Provider Directory

Locations

5981 Jefferson St NE
Ste A
Albuquerque, NM 87109
Phone (505) 370-9600

1415 Weimer Rd
Taos, NM 87571
Phone (505) 370-9600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEGCCD

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1730795501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22566",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875022566",
            "telephone_number": "505-370-9600",
            "fax_number": "505-355-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 JEFFERSON ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093457",
            "telephone_number": "505-370-9600",
            "fax_number": "505-355-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "BIJU",
        "authorized_official_title_or_position": "TREASURER/OWNER",
        "authorized_official_telephone_number": "505-370-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.