Active NPI
Arnoldo Alejandro Padilla Vazquez, MD
- Internal Medicine Physician
- Grants, NM
National Provider Identifier
1861684524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2023-1468
- Practice address
- 1217 Bonita St
Grants, NM 87020-2103 - Phone
- (505) 287-2958
- Fax
- (505) 443-8342
- NPI assigned
- Aug 15, 2007
- Last updated
- Jan 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD28556 | OR | |
| Internal Medicine Physician | 207R00000X | MD2023-1468 | NM | Primary |
Addresses
Primary practice location
1217 Bonita St
Grants, NM 87020-2103
Mailing address
1217 Bonita St
Grants, NM 87020-2103
Phone (505) 287-2958
Other practice location 1
1180 Newfield Ave
Stamford, CT 06905-1409
Phone (314) 888-5233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246144 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CT, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2023-1468 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients |
Locations
1217 Bonita St
Grants, NM 87020
Phone (505) 287-2950
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
Interoperability endpoints
- apadil14@yourcarecommunity.org
- apadillavazquez3033@direct.peacehealth.org
- arnoldo.padillavazquez.p1@direct.pmsnm.nextgenshare.com
Organizations & group practices 4
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.
-
dba Rio Rancho Family Health Center
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
dba Cottage Grove Community Medical CT
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
-
dba PMS Central Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1518910553
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cibola General Hospital
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Hospital
-
dba RMCHCS Hospital
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1861684524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 BONITA ST",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202103",
"telephone_number": "505-287-2958",
"fax_number": "505-443-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 BONITA ST",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202103",
"telephone_number": "505-287-2958",
"fax_number": "505-443-8342"
}
],
"practiceLocations": [
{
"address_1": "1180 Newfield Ave",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "069051409",
"country_code": "US",
"telephone_number": "314-888-5233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADILLA VAZQUEZ",
"first_name": "ARNOLDO",
"middle_name": "ALEJANDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD28556",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2023-1468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "246144",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.