Active NPI
Mridula Rai, MD
- Cardiovascular Disease Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD2016-0323
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 054061 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Lovelace Health System LLC | Current | Accepting new patients | |
| Lovelace Health System, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | 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
- 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.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Clinic/Center
- Santa Fe, NM
- NPI 1245798024
-
dba Lovelace Women's Hospital
- Obstetrics Physician
- Albuquerque, NM
- NPI 1811175714
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1164137964
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Westside Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.