Individual provider Active NPI

Thelmo Fidel Ernesto Barrantes Ramirez, M.D.

  • Nephrology Physician
  • Albuquerque, NM
National Provider Identifier
1780815258
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD2010-0696 Issued in NM
Practice address
3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone
(505) 998-7400
Fax
(505) 998-7741
NPI assigned
Aug 1, 2009
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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 MD2010-0696 NM
Nephrology Physician 207RN0300X MD2010-0696 NM Primary

Addresses

Primary practice location

3821 Masthead St NE
Albuquerque, NM 87109-4679

Mailing address

3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 998-7400

Other identifiers 1

IdentifierTypeStateIssuer
93802072MedicaidNM

Other names 1

  • Dr. Fidel Barrantes Professional name

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
I20110609000563 NM Practitioner - NephrologyPractitioner - Internal Medicine 9931394160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Medicine Associates LTD.Group PAC ID 1052217585, 37 clinicians

Practice addresses (Care Compare)

3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 994-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2010-0696NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Renal Medicine Associates LTD. CurrentSince Mar 1, 2011 Accepting new patients

Locations

3821 Masthead St NE
Albuquerque, NM 87109
Phone (505) 998-7400

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

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

2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

313 W Country Club Rd
Ste 12
Roswell, NM 88201
Phone (505) 627-5828

Interoperability endpoints

  • Direct secure messaging: tbarrantesramirez20994@ahs.direct-ci.com
  • Direct secure messaging: tbarrantesramirez32535@direct.acumenmd.com
  • Direct secure messaging: tbarrantesramirez65925@direct.phs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1249084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1780815258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094679",
            "telephone_number": "505-998-7400",
            "fax_number": "505-998-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094679",
            "telephone_number": "505-998-7400",
            "fax_number": "505-998-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANTES RAMIREZ",
        "first_name": "THELMO FIDEL",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-01",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2010-0696",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2010-0696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93802072",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIDEL",
            "last_name": "BARRANTES",
            "prefix": "DR.",
            "credential": "MD.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.