Active NPI
Usha Venkatraj, M.D.
- Hematology & Oncology Physician
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD2018-0002
- Practice address
- 2400 Unser Blvd SE
Rio Rancho, NM 87124-4740 - Phone
- (505) 559-6100
- Fax
- (505) 559-6101
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | K6395 | TX | |
| Medical Oncology Physician | 207RX0202X | K6395 | TX | |
| Hematology & Oncology Physician | 207RH0003X | MD2018-0002 | NM | Primary |
Addresses
Primary practice location
2400 Unser Blvd SE
Rio Rancho, NM 87124-4740
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other practice location 1
1602 Rock Prairie Rd
Suite 130B
College Station, TX 77845-8306
Phone (979) 693-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68171773 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2018-0002 | NM | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000
2703 Osler Blvd
Bryan, TX 77802
Phone (409) 696-2172
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Internal Medicine Physician
- College Station, TX
- NPI 1053373951
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1760409668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 UNSER BLVD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244740",
"telephone_number": "505-559-6100",
"fax_number": "505-559-6101"
}
],
"practiceLocations": [
{
"address_1": "1602 Rock Prairie Rd",
"address_2": "Suite 130B",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778458306",
"country_code": "US",
"telephone_number": "979-693-2900",
"fax_number": "979-693-2996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENKATRAJ",
"first_name": "USHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "TX",
"license": "K6395",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "K6395",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "MD2018-0002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68171773",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.