Alexander Christopher Deradke, DO
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Albuquerque, NM
NPI 1851851950 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1851851950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- DO2022-0123 (NM)
- Practice address
- MSC 10-5550 University of New Mexico
Albuquerque, NM 87131-0001 - Phone
- (505) 272-4661
- NPI assigned
- Mar 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Geriatric Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Unm Medical Group Inc
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
Hospital & facility affiliations
- Unmh Home Care
- Ambercare Home Health
- Harmony Home Health Services, LLC
- Advantage Home Care, Inc Dba Corus Home Health
- Unm Hospital
- Presbyterian Hospital
- Lovelace Unm Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230525000633 | NM | Practitioner - Geriatric Medicine |
9931437449 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO2022-0123 | NM | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | DO2022-0123 | NM | Yes |
Addresses
Primary practice location
MSC 10-5550 University of New Mexico
Albuquerque, NM 87131-0001
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu |
Other providers in Albuquerque, NM
- Jane A. Depper
- Mark Howard Depper
- Leon E. Deprest
- Michael H Deprest
- Julia Depriest
- Jessica Dereu
- Lev B Deriy
- Daniel Derksen
- Dermatology & Skin Cancer Center of NM PC
- Dermatology Consultants of Albuquerque PC
All providers in Albuquerque, NM · Geriatric Medicine (Internal Medicine) Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.