Phillip William Carmody, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

7415 Issued in NM

Practice address

10400 Academy Rd NE
#230
Albuquerque, NM 87111-1229

Phone

(505) 298-1558

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Diagnostic Radiology

Education

University of Nebraska College of Medicine, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Associates of Vascular & Interpretation, LLC

  • Mobile Radiology Clinic/Center
  • Albuquerque, NM
  • NPI 1831427897
  Medicare reassignment NPD
• Radiology Associates of Albuquerque, PA

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1881666998
  NPD (past)
• Spine & Muscle Rehabilitation Inc

  • Mechanotherapist
  • Albuquerque, NM
  • NPI 1396908653
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1922018712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 BROCK LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223753",
            "telephone_number": "505-858-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 ACADEMY RD NE",
            "address_2": "#230",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111229",
            "telephone_number": "505-298-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "PHILLIP",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "7415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00007823",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Brown LLC
• Ilene Marie Carmenaty, R.N.
• Bonnie Carmichael, MD
• Martha Carmody, PH.D.
• Melinda Susan Carmody, PHARMD
• Blanca Iris Carmona
• Consuelo Carmona, MD
• Claire V Carmony
• Cassie Lee Carnahan
• Catherine Carnell, LMT

• Diagnostic Radiology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Diagnostic Radiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.

Verify at the official NPI Registry.