Yvonne D Vanarsdale-Imani, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2004-0550 Issued in NM

Practice address

4504 4TH St NW Ste a
Albuquerque, NM 87107-3956

Phone

(505) 896-1222

Fax

(505) 896-1444

NPI assigned

Jun 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Pain Management, Preventive Medicine

Education

Tufts University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lotus Family Health & Wellness, LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
  • NPI 1780059469
  Medicare reassignment NPD Authorized official
• San Miguel Clinic Corp

  • Family Medicine Physician
  • Las Vegas, NM
  • NPI 1114920717
  NPD (past)
• Truecare LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1407227002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1861497901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 ACADEMY RD NE",
            "address_2": "STE 301-117",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117236",
            "telephone_number": "515-778-8777",
            "fax_number": "505-438-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 4TH ST NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073956",
            "telephone_number": "505-896-1222",
            "fax_number": "505-896-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANARSDALE-IMANI",
        "first_name": "YVONNE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2004-0550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Van Wagenen, HIS11
• Viviana Van Wagoner, LPN
• Annika Van Wieren, MD
• Megan Van Winkle, MD
• Dawn Vana
• Erica Nicole Vanarsdale, MPH, APRN, FNP-BC
• Samantha Vance, SLP-CF
• Jordan Brooke Vancel, MD, MHS
• Rene B Vandenbrink, SLP
• Darlo G. Vander Wilt, DPM

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.

Verify at the official NPI Registry.