Individual provider Active NPI

Jason E. Mudd, MD

  • Otolaryngology Physician
  • Albuquerque, NM
National Provider Identifier
1881879005
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD2011-0142 Issued in NM
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000389 NM Practitioner - Otolaryngology 5991976474 Reassigns benefits to 1 organization

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
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

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 Hospital, Albuquerque, NM, CCN 320074
  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Lovelace Unm Rehabilitation Hospital Inpatient rehabilitation facility, Albuquerque, NM, CCN 323028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2011-0142NMMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Sep 1, 2020 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.