Individual provider Active NPI

Bradley D Raisher, MD

  • Pediatric Cardiology Physician
  • Albuquerque, NM
National Provider Identifier
1912965237
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
96345 Issued in NM
Practice address
201 Cedar
Suite 700
Albuquerque, NM 87106
Phone
(505) 848-3700
Fax
(505) 848-3703
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 96345 NM Primary
Pediatric Cardiology Physician 2080P0202X M11905 ID

Addresses

Primary practice location

201 Cedar
Suite 700
Albuquerque, NM 87106

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222

Other identifiers 1

IdentifierTypeStateIssuer
L0722MedicaidNM

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
I20041115000668 NM Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 1951382712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

201 Cedar St SE
Suite 7600
Albuquerque, NM 87106-4921
Phone (505) 563-2500

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M11905IDMDPediatric Cardiology Physician
96345NMMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Dec 18, 2014 Accepting new patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients
Seattle Children'S Hospital Current Accepting new patients
Seattle Children'S Hospital CurrentSince Nov 3, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 27, 2020 Accepting new patients
Seattle Childrens Hospital CurrentSince Nov 3, 2021 Accepting new patients
Unm Medical Group Inc CurrentSince Dec 18, 2014 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 27, 2020 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Pediatric Cardiology Associates of New Mexico PC Pediatric Cardiology PastSince Jul 1, 2000 Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

201 Cedar St SE
Ste 700
Albuquerque, NM 87106
Phone (505) 563-6120

201 Cedar St SE
Ste 7600
Albuquerque, NM 87106
Phone (505) 563-2500

201 Cedar St SE
Ste 6670
Albuquerque, NM 87106
Phone (505) 563-6120

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: braisher186996@direct.phs.org

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1912965237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR",
            "address_2": "SUITE 700",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-848-3700",
            "fax_number": "505-848-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISHER",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NM",
            "license": "96345",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "ID",
            "license": "M11905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L0722",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.