Individual provider Active NPI

Ronald John Rosandich, MD

  • Allergy & Immunology Physician
  • Albuquerque, NM
National Provider Identifier
1811969322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
70192 Issued in NM
Practice address
8010 Mountain Rd NE
Albuquerque, NM 87110-7840
Phone
(505) 268-2481
Fax
(505) 268-0889
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 70192 NM Primary

Addresses

Primary practice location

8010 Mountain Rd NE
Albuquerque, NM 87110-7840

Mailing address

8010 Mountain Rd NE
Albuquerque, NM 87110-7840
Phone (505) 268-2481

Other identifiers 3

IdentifierTypeStateIssuer
2355OtherNMBLUE CROSS
24998OtherPRESBYTERIAN
23556MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70192NMMDAllergy & Immunology Physician

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811969322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 MOUNTAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107840",
            "telephone_number": "505-268-2481",
            "fax_number": "505-268-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 MOUNTAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107840",
            "telephone_number": "505-268-2481",
            "fax_number": "505-268-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSANDICH",
        "first_name": "RONALD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NM",
            "license": "70192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2355",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "24998",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23556",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.