Individual provider Active NPI

James T Ninomiya, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1902858681
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MD2020-0114 Issued in NM
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

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002000128KOtherHUMANA
1902858681MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NM, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100915000155 WI Practitioner - Orthopedic Surgery 1850416884 Reassigns benefits to 2 organizations
I20200513000140 NM Practitioner - Orthopedic Surgery 1850416884 Reassigns benefits to 3 organizations
I20251204004138 IN Practitioner - Orthopedic Surgery 1850416884 Reassigns benefits to 1 organization

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
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Memorial HospitalGroup PAC ID 8123923281, 64 clinicians

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

LicenseStateTypeSpecialty
MD2020-0114NMMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cibola General Hospital Corporation CurrentSince Apr 17, 2023 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Aug 31, 1993 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Oct 28, 2018 Accepting new patients
Presbyterian Healthcare Services CurrentSince Apr 1, 2025 Accepting new patients
Unm Medical Group, Inc. CurrentSince Mar 30, 2020 Accepting new patients
Unm Medical Group Inc CurrentSince Mar 30, 2020 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Oct 28, 2018 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Nov 10, 2025 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Nov 10, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Apr 1, 2025 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

  • Direct secure messaging: jninomiya266849@direct.phs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/62ec6f7d-af4b-46d8-93b5-703ae9be8c7e/
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.