Active NPI
Babak Mirin, M.D.
- Psychiatry Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2002-0076
- Practice address
- 3500 Comanche Rd NE Ste E6
Albuquerque, NM 87107-4546 - Phone
- (505) 881-4500
- Fax
- (505) 881-5158
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2002-0076 | NM | |
| Psychiatry Physician | 2084P0800X | 2002-0076 | NM | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 20020076 | NM | |
| Geriatric Psychiatry Physician | 2084P0805X | 20020076 | NM |
Addresses
Primary practice location
3500 Comanche Rd NE Ste E6
Albuquerque, NM 87107-4546
Mailing address
PO Box 8244
Roswell, NM 88202-8244
Phone (575) 624-2095
Other practice location 1
5400 Gibson Blvd SE
Albuquerque, NM 87108-5566
Phone (575) 624-2095
Other practice location 2
405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 622-8170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34876855 | Medicaid | NM |
Other names 1
- Babak Mirin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Roswell | Health Information Exchange (HIE) |
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
- Psychiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 363-3134
Hospital & facility affiliations
- Eastern New Mexico Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002-0076 | NM | MD | Specialist |
| 20020076 | NM | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enchantment Healthcare Partners LLC | Current | Accepting new patients | |
| Behavioral Health Services of New Mexico LLC | Current | Accepting new patients | |
| Behavioral Health Services of New Mexico LLC | Psychiatry | Current | Accepting new patients |
| State of New Mexico | Current | Accepting new patients | |
| Counseling Associates Inc | Past | Accepting new patients | |
| Roswell Hospital Corporation | Past | Accepting new patients |
Locations
1525 N Renaissance Blvd NE
Albuquerque, NM 87107
Phone (505) 243-3387
6100 Indian School Rd NE
Ste 115
Albuquerque, NM 87110
Phone (505) 881-4500
Organizations & group practices 7
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.
-
- Psychiatric Hospital
- Albuquerque, NM
- NPI 1427330679
-
- Nurse Practitioner
- Albuquerque, NM
- NPI 1154094613
-
- Skilled Nursing Facility
- Truth Or Consequences, NM
- NPI 1578730230
-
- Family Nurse Practitioner
- Roswell, NM
- NPI 1053802892
-
- Psychiatry Physician
- Albuquerque, NM
- NPI 1477913697
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roswell, NM
- NPI 1114979747
-
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1891776274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8244",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882028244",
"telephone_number": "575-624-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 COMANCHE RD NE STE E6",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074546",
"telephone_number": "505-881-4500",
"fax_number": "505-881-5158"
}
],
"practiceLocations": [
{
"address_1": "5400 Gibson Blvd SE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871085566",
"country_code": "US",
"telephone_number": "575-624-2095",
"fax_number": "575-208-0780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Country Club Rd",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882015209",
"country_code": "US",
"telephone_number": "575-622-8170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRIN",
"first_name": "BABAK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "2002-0076",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "2002-0076",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NM",
"license": "20020076",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NM",
"license": "20020076",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34876855",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Roswell",
"affiliation": "N",
"endpointDescription": "Electronic Medical record",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Hospital",
"address_1": "405 W Country Club Rd",
"city": "Roswell",
"state": "NM",
"country_code": "US",
"postal_code": "882015209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BABAK",
"last_name": "MIRIN",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 28, 2026; 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.