Individual provider Active NPI

Mridula Rai, MD

  • Cardiovascular Disease Physician
  • Albuquerque, NM
National Provider Identifier
1851619894
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD2016-0323 Issued in NM
Practice address
502 Elm St NE
Albuquerque, NM 87102
Phone
(505) 841-1000
NPI assigned
May 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD2016-0323 NM Primary
Cardiovascular Disease Physician 207RC0000X 054061 CT

Addresses

Primary practice location

502 Elm St NE
Albuquerque, NM 87102

Mailing address

502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000

Other practice location 1

164 Otrobando Ave
Norwich, CT 06360-2116
Phone (860) 886-0023

Other practice location 2

164 Otrobando Ave
Norwich, CT 06360-2116
Phone (860) 886-0023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713002026 NM Practitioner - Cardiovascular Disease (Cardiology) 1355652496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054061CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince May 1, 2019 Accepting new patients
Lovelace Health System LLC CurrentSince Jun 1, 2017 Accepting new patients
Lovelace Health System, LLC CurrentSince Jun 1, 2017 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 1, 2019 Accepting new patients
Lovelace Health System LLC Current Accepting new patients

Locations

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

4801 McMahon Blvd NW
Albuquerque, NM 87114
Phone (505) 554-1734

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

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

502 Elm St NE
Albuquerque, NM 87102

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

10511 Golf Course Rd NW
Ste 104
Albuquerque, NM 87114
Phone (505) 727-2116

Interoperability endpoints

  • Direct secure messaging: mrai10466@ahs.direct-ci.com

Organizations & group practices 5

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": "1273881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1851619894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-841-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Otrobando Ave",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602116",
            "country_code": "US",
            "telephone_number": "860-886-0023",
            "fax_number": "860-886-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Otrobando Ave",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602116",
            "country_code": "US",
            "telephone_number": "860-886-0023",
            "fax_number": "860-886-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAI",
        "first_name": "MRIDULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-15",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2016-0323",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "054061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.