Active NPI
Barry D Nagel, MD
- Otolaryngology Physician
- Albuquerque, NM
National Provider Identifier
1922017730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 78-230
- Practice address
- 1020 Tijeras Ave NE
Suite 22
Albuquerque, NM 87106-4749 - Phone
- (505) 848-3124
- Fax
- (505) 848-8077
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 78-230 | NM | Primary |
Addresses
Primary practice location
1020 Tijeras Ave NE
Suite 22
Albuquerque, NM 87106-4749
Mailing address
1020 Tijeras Ave NE
Ste 22
Albuquerque, NM 87106-4749
Phone (505) 848-3124
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM003124 | Other | NM | BCBS ID |
| 040012235 | Other | NM | RR MEDICARE ID |
| 13201 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry D. Nagel, MD, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Albuquerque, NM
- NPI 1235335894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1922017730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 TIJERAS AVE NE",
"address_2": "STE 22",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064749",
"telephone_number": "505-848-3124",
"fax_number": "505-727-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 TIJERAS AVE NE",
"address_2": "SUITE 22",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064749",
"telephone_number": "505-848-3124",
"fax_number": "505-848-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "BARRY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "78-230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "NM003124",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE ID",
"identifier": "040012235",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13201",
"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 Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.