NPIMap

Individual provider Active NPI

Richard B Meredick Jr., M.D.

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1841498763
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD2007-0471 Issued in NM
Practice address
101 Hospital Loop NE Ste 201
Albuquerque, NM 87109-2128
Phone
(505) 727-4430
NPI assigned
Jul 3, 2007
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD2007-0471 NM
Orthopaedic Surgery Physician 207X00000X MD2007-0471 NM Primary
Orthopaedic Surgery Physician 207X00000X C56196 CA

Addresses

Primary practice location

101 Hospital Loop NE Ste 201
Albuquerque, NM 87109-2128

Mailing address

101 Hospital Loop NE Ste 201
Albuquerque, NM 87109-2128
Phone (505) 727-4430

Other practice location 1

152 Pioneer Lane
Suite A
Bishop, CA 93514-2563
Phone (760) 873-2605

Other identifiers 2

IdentifierTypeStateIssuer
MD2007-0471OtherNMNM LICENSE
1841498763MedicaidCA

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
I20070817000714 NM Practitioner - Orthopedic Surgery 7517059678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

101 Hospital Loop NE
Suite 201
Albuquerque, NM 87109-2128
Phone (505) 727-4430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2007-0471NMMDSpecialist
C56196CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Dec 1, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Dec 1, 2024 Accepting new patients
Northern Inyo Healthcare District CurrentSince May 1, 2015 Accepting new patients
Northern Inyo Healthcare District CurrentSince May 1, 2015 Accepting new patients
Taos Orthopaedic Institute, PC Orthopaedic Surgery PastSince Aug 5, 2000 Accepting new patients
Northern Inyo Associates Past Accepting new patients

Locations

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

152 Pioneer Ln
Ste A
Bishop, CA 93514
Phone (760) 873-2605

152 Pioneer Ln
Ste F
Bishop, CA 93514
Phone (760) 872-1606

101 Hospital Loop NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-4430

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

Interoperability endpoints

  • Direct secure messaging: rmeredick1262196@ahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1841498763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092128",
            "telephone_number": "505-727-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092128",
            "telephone_number": "505-727-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Pioneer Lane",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Bishop",
            "state": "CA",
            "postal_code": "935142563",
            "country_code": "US",
            "telephone_number": "760-873-2605",
            "fax_number": "760-873-2769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEREDICK",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "MD2007-0471",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2007-0471",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C56196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "MD2007-0471",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841498763",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.