Individual provider Active NPI

Babak Mirin, M.D.

  • Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1891776274
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2002-0076 Issued in NM
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

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34876855MedicaidNM

Other names 1

  • Babak Mirin Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060817000082 NM Practitioner - Psychiatry 2769485739 Reassigns benefits to 4 organizations
Practice locations: Roswell, NM

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 Hospital, Roswell, NM, CCN 320006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002-0076NMMDSpecialist
20020076NMMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enchantment Healthcare Partners LLC CurrentSince Sep 1, 2025 Accepting new patients
Behavioral Health Services of New Mexico LLC CurrentSince Jan 18, 2026 Accepting new patients
Behavioral Health Services of New Mexico LLC Psychiatry CurrentSince Jan 18, 2026 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.