NPIMap

Individual provider Active NPI

Amyn G Alidina, MD

  • Medical Oncology Physician
  • Albuquerque, NM
National Provider Identifier
1821088063
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2004-0726 Issued in NM
Practice address
4901 Lang Ave NE
Albuquerque, NM 87109
Phone
(505) 822-3948
Fax
(505) 246-0684
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD2004-0726 NM
Medical Oncology Physician 207RX0202X 2004-0726 NM Primary

Addresses

Primary practice location

4901 Lang Ave NE
Albuquerque, NM 87109

Mailing address

4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone (505) 842-8171

Other identifiers 1

IdentifierTypeStateIssuer
34029036MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000421 NM Practitioner - Hematology/Oncology 2769417807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Mexico Oncology Hematology Consultants LTDGroup PAC ID 3577533447, 66 clinicians

Practice addresses (Care Compare)

4901 Lang Ave NE
New Mexico Cancer Center
Albuquerque, NM 87109-4397
Phone (505) 842-8171

Hospital & facility affiliations

  • Ambercare Home Health Home health agency, Belen, NM, CCN 327123
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Gallup Indian Medical Center Hospital, Gallup, NM, CCN 320061
  • Rehoboth McKinley Christian Health Care Services Hospital, Gallup, NM, CCN 321313
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Cibola General Hospital Hospital, Grants, NM, CCN 321308

Merit-based Incentive Payment System (MIPS)

Final score
88.51 of 100Reported as group
Quality
93.17
Promoting interoperability
93
Improvement activities
40
Cost
74.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-0726NMMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Oncology Hematology Consultants, LTD. Hematology & Oncology CurrentSince Dec 12, 2015 Accepting new patients

Locations

4901 Lang Ave NE
Ste 302
Albuquerque, NM 87109

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

Interoperability endpoints

  • Direct secure messaging: aalidina6485@ahs.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1821088063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094397",
            "telephone_number": "505-842-8171",
            "fax_number": "505-246-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-822-3948",
            "fax_number": "505-246-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIDINA",
        "first_name": "AMYN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "MD2004-0726",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NM",
            "license": "2004-0726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34029036",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.