Active NPI
Jason E. Mudd, MD
- Otolaryngology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD2011-0142
- Practice address
- 1020 Tijeras Ave NE Ste 22
Albuquerque, NM 87106-4749 - Phone
- (505) 848-3124
- NPI assigned
- Jan 7, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD2011-0142 | NM | Primary |
Addresses
Primary practice location
1020 Tijeras Ave NE Ste 22
Albuquerque, NM 87106-4749
Mailing address
1020 Tijeras Ave NE Ste 22
Albuquerque, NM 87106-4749
Phone (505) 848-3124
Other practice location 1
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-2015
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
- Otolaryngology
- Education
- University of New Mexico School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (505) 727-2000
320 Seven Springs Way
Suite 100
Brentwood, TN 37027-5697
340 Seven Springs Way
Suite 100
Brentwood, TN 37027-5697
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090
Hospital & facility affiliations
- Lovelace Westside Hospital
- Lovelace Women'S Hospital
- Lovelace Medical Center
- Presbyterian Hospital
- Lovelace Unm Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2011-0142 | NM | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
1020 Tijeras Ave NE
Albuquerque, NM 87106
Phone (505) 727-1670
1020 Tijeras Ave NE
Ste 22
Albuquerque, NM 87106
Phone (505) 727-1670
Interoperability endpoints
- jmudd9908@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
- Rehabilitation Hospital
- Albuquerque, NM
- NPI 1700325677
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881879005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 TIJERAS AVE NE STE 22",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064749",
"telephone_number": "505-848-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 TIJERAS AVE NE STE 22",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064749",
"telephone_number": "505-848-3124"
}
],
"practiceLocations": [
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-2015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUDD",
"first_name": "JASON",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "MD2011-0142",
"primary": true
}
],
"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 17, 2018; 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.