Individual provider Active NPI

Shashwat Pandhi, M.D., M.P.H.

  • Addiction Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1760749600
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
MD2020-0592 Issued in NM
Practice address
6121 Indian School Rd NE Ste 143
Albuquerque, NM 87110-3176
Phone
(505) 542-4970
Fax
(505) 213-6301
NPI assigned
Apr 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X MD2020-0592 NM
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X MD2020-0592 NM
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X MD2020-0592 NM Primary

Addresses

Primary practice location

6121 Indian School Rd NE Ste 143
Albuquerque, NM 87110-3176

Mailing address

6121 Indian School Rd NE Ste 143
Albuquerque, NM 87110-3176
Phone (505) 542-4970

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
I20200721000278 NM Practitioner - Psychiatry 4587898200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Bloom Health Collaborative LLCGroup PAC ID 4688109671, 2 clinicians

Practice addresses (Care Compare)

6121 Indian School Rd NE
Suite 143
Albuquerque, NM 87110-3176
Phone (413) 726-4799

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2020-0592NMMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Bloom Health Collaborative LLC Multi-Specialty CurrentSince Aug 17, 2024 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jul 12, 2020 Accepting new patients
Unm Medical Group Inc Multi-Specialty CurrentSince Jul 12, 2020 Accepting new patients
High Desert Healing Multi-Specialty CurrentSince Oct 11, 2024 Accepting new patients

Locations

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

4201 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 717-1332

6121 Indian School Rd NE
Ste 143
Albuquerque, NM 87110
Phone (413) 726-4799

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1760749600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 143",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103176",
            "telephone_number": "505-542-4970",
            "fax_number": "505-213-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 143",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103176",
            "telephone_number": "505-542-4970",
            "fax_number": "505-213-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDHI",
        "first_name": "SHASHWAT",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2020-0592",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "MD2020-0592",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NM",
            "license": "MD2020-0592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.