Kyrieckos A Aleck, MD
Individual provider Active NPI Clinical Genetics (M.D.) Physician · Albuquerque, NM
NPI 1891767307 · NPPES record last updated Dec 1, 2024
Key facts
- NPI
- 1891767307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Genetics (M.D.) Physician 207SG0201X
- License
- 86-160 (NM)
- Practice address
- 2211 Lomas Blvd NE
Albuquerque, NM 87106-2719 - Phone
- (505) 272-4107
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Washington University School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unm Medical Group Inc
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, 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 |
|---|---|---|---|---|
| I20040621001788 | AZ | Practitioner - Pediatric Medicine |
5496730798 | Reassigns benefits to 1 organization |
| I20220420001122 | NM | Practitioner - Pediatric Medicine |
5496730798 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21245 | AZ | MD | Clinical Genetics (M.D.) Physician |
| 86-160 | NM | MD | Clinical Genetics (M.D.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Phoenix Children'S Medical Group | Current |
Accepting new patients | |
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients |
Locations
3420 S Mercy Rd
Ste 205
Gilbert, AZ 85297
Phone (602) 933-3033
1920 E Cambridge Ave
Ste 304
Phoenix, AZ 85006
Phone (602) 933-3335
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965
1625 N Campbell Ave
Tucson, AZ 85719
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
933 Bradbury Dr SE
Ste 2222
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 |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 21245 | AZ | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 86-160 | NM | Yes |
Addresses
Primary practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Mailing address
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200303 | Medicaid | AZ |
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
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- Angela Pali Aldrich
- Blaize S Aldrich
- Kevin Aldrich
- Anna Aldridge
- Alegis Care Services LLC
- Alegre Dental
- Alegria Family Services
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All providers in Albuquerque, NM · Clinical Genetics (M.D.) 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 Dec 1, 2024. 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.