Active NPI
James T Ninomiya, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- MD2020-0114
- Practice address
- Unm Department of Orthopaedics MSC 10-5600
1 University of New Mexico
Albuquerque, NM 87131-0001 - Phone
- (414) 272-1647
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD2020-0114 | NM | Primary |
Addresses
Primary practice location
Unm Department of Orthopaedics MSC 10-5600
1 University of New Mexico
Albuquerque, NM 87131-0001
Mailing address
Unm Department of Orthopaedics MSC 10-5600
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (414) 272-1647
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002000128K | Other | HUMANA | |
| 1902858681 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NM, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Vermont College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Spruce St
Espanola, NM 87532-2724
Phone (505) 367-0360
1101 Michigan Ave
Loganport, IN 46947-1528
Phone (574) 753-7541
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2020-0114 | NM | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cibola General Hospital Corporation | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Parkview Logansport Hospital, Inc. | Current | Accepting new patients | |
| Parkview Logansport Hospital, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
1101 Michigan Ave
Ste 0
Logansport, IN 46947
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
751 W 2nd St
Ste 100
Peru, IN 46970
Phone (765) 919-4378
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
1208 Bonita St
Grants, NM 87020
Phone (505) 287-4474
1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500
1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
2315 E Moreland Blvd
Waukesha, WI 53186
Phone (262) 532-5700
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- jninomiya266849@direct.phs.org
- https://fhir-myrecord.cerner.com/r4/62ec6f7d-af4b-46d8-93b5-703ae9be8c7e/
- https://arrprd.mhhcc.org/OAuth2/api/FHIR/R4/
Organizations & group practices 11
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1942317656
-
dba Cibola General Hospital
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba UNM Truman Health Services Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
dba Parkview Logansport Hospital Peru Medical Center
- Rural Health Clinic/Center
- Peru, IN
- NPI 1770248015
-
- Ambulance
- Logansport, IN
- NPI 1154301661
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1902858681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNM DEPARTMENT OF ORTHOPAEDICS MSC 10-5600",
"address_2": "1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "414-272-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNM DEPARTMENT OF ORTHOPAEDICS MSC 10-5600",
"address_2": "1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "414-272-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINOMIYA",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NM",
"license": "MD2020-0114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "002000128K",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902858681",
"state": "WI"
}
],
"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 Apr 7, 2020; 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.