Individual provider Active NPI

Muhammad Anas Tarakji, MD

  • Hematology & Oncology Physician
  • Albuquerque, NM
National Provider Identifier
1750497863
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD2011-0601 Issued in NM
Practice address
715 Dr Martin Luther King Jr Ave NE Ste 102
Albuquerque, NM 87102-3666
Phone
(505) 727-3040
Fax
(505) 727-9590
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2011-0601 NM
Hematology & Oncology Physician 207RH0003X MD2011-0601 NM Primary

Addresses

Primary practice location

715 Dr Martin Luther King Jr Ave NE Ste 102
Albuquerque, NM 87102-3666

Mailing address

PO Box 840063
Dallas, TX 75284-0063
Phone (505) 727-5155

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
I20120426000518 NM Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2668478652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

700 High St NE
Albuquerque, NM 87102-2565
Phone (502) 596-7358

715 Dr Martin Luther King Jr Ave NE
Suite 102
Albuquerque, NM 87102-3666
Phone (505) 727-3040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Feb 26, 2012 Accepting new patients
KND Development 59, LLC CurrentSince Feb 26, 2012 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince May 1, 2012 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince May 1, 2012 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2020 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2020 Accepting new patients
Texas Em-I Medical Services, PA Internal Medicine Past Accepting new patients
HCC Region II LLC Past Accepting new patients
Sabine County Hospital District Past Accepting new patients
Transitional Hospitals Corporation of New Mexico, LLC Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

715 Martin Luther King Ave NE
Ste 102
Albuquerque, NM 87102
Phone (505) 727-3040

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: mtarakji321105@ahs.direct-ci.com

Organizations & group practices 10

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 3

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1750497863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840063",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840063",
            "telephone_number": "505-727-5155",
            "fax_number": "505-727-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DR MARTIN LUTHER KING JR AVE NE STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023666",
            "telephone_number": "505-727-3040",
            "fax_number": "505-727-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAKJI",
        "first_name": "MUHAMMAD",
        "middle_name": "ANAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2011-0601",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "MD2011-0601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.