Active NPI
Russell Kenneth Parker, MD
- Diagnostic Radiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 99277
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z6244 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Lovelace Westside Hospital
- Lovelace Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99277 | NM | MD | Diagnostic Radiology Physician |
| 8190 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reedley Community Hospital | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Enloe Medical Center | Current | Accepting new patients | |
| Adventist Health Tulare | Current | Accepting new patients | |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Enloe Medical Center | Current | Accepting new patients | |
| Hanford Community Hospital | Current | Accepting new patients | |
| Zia Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Otero County Hospital Association | Current | Accepting new patients | |
| Reedley Community Hospital | Current | Accepting new patients | |
| Otero County Hospital Association | Current | 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
- https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
- 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.
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1558555003
-
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
- Surgery Physician
- Chico, CA
- NPI 1477975613
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1215266754
-
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
-
- Community/Retail Pharmacy
- Chico, CA
- NPI 1912949538
-
- Rural Health Clinic/Center
- Earlimart, CA
- NPI 1821699620
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.