Active NPI
Ronald John Rosandich, MD
- Allergy & Immunology Physician
- Albuquerque, NM
National Provider Identifier
1811969322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 70192
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2355 | Other | NM | BLUE CROSS |
| 24998 | Other | PRESBYTERIAN | |
| 23556 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70192 | NM | MD | Allergy & 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.