Active NPI
Bradley D Raisher, MD
- Pediatric Cardiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 96345
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L0722 | Medicaid | NM |
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| M11905 | ID | MD | Pediatric Cardiology Physician |
| 96345 | NM | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Pediatric Cardiology Associates of New Mexico PC | Pediatric Cardiology | Past | 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
- 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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- Primary Care Clinic/Center
- Seattle, WA
- NPI 1134251747
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- Pediatric Cardiology Physician
- Albuquerque, NM
- NPI 1578653705
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.