Individual provider Active NPI

Russell Kenneth Parker, MD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1811963457
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
99277 Issued in NM
Practice address
1613 Bayita LN NW
Albuquerque, NM 87107-3320
Phone
(505) 269-4669
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 99277 NM Primary

Addresses

Primary practice location

1613 Bayita LN NW
Albuquerque, NM 87107-3320

Mailing address

1613 Bayita LN NW
Albuquerque, NM 87107-3320
Phone (505) 269-4669

Other identifiers 1

IdentifierTypeStateIssuer
Z6244MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050418000951 NM Practitioner - Diagnostic RadiologyPractitioner - Cardiovascular Disease (Cardiology) 8426096801 Reassigns benefits to 5 organizations
I20191223002023 CA Practitioner - Diagnostic Radiology 8426096801 Reassigns benefits to 4 organizations
I20220707000099 TX Practitioner - Diagnostic Radiology 8426096801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians

Practice addresses (Care Compare)

2450 S Telshor Blvd
Memorial Medical Center
Las Cruces, NM 88011-5141
Phone (505) 225-8476

Hospital & facility affiliations

  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99277NMMDDiagnostic Radiology Physician
8190NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 27, 2022 Accepting new patients
Enloe Medical Center CurrentSince May 12, 2020 Accepting new patients
Adventist Health Tulare CurrentSince Nov 1, 2022 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Oct 16, 2017 Accepting new patients
Enloe Medical Center CurrentSince May 12, 2020 Accepting new patients
Hanford Community Hospital CurrentSince Apr 29, 2022 Accepting new patients
Zia Diagnostic Imaging Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Taos Mountain Radiology Inc Diagnostic Radiology Past Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2539 Medical Dr
Ste 101
Alamogordo, NM 88310
Phone (505) 434-1353

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • Direct secure messaging: rparker55112@enloedirect.org

Organizations & group practices 13

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.

View all 13

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1811963457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 BAYITA LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073320",
            "telephone_number": "505-269-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 BAYITA LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073320",
            "telephone_number": "505-269-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RUSSELL",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "99277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z6244",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.