NPIMap

Individual provider Active NPI

Eduardo A. Alas, M.D.

  • Nephrology Physician
  • Albuquerque, NM
National Provider Identifier
1932200904
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD20050840 Issued in NM
Practice address
717 Encino Place N.E.
Suite 26
Albuquerque, NM 87102
Phone
(505) 884-4545
Fax
(505) 884-4114
NPI assigned
Sep 25, 2006
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD20050840 NM Primary

Addresses

Primary practice location

717 Encino Place N.E.
Suite 26
Albuquerque, NM 87102

Mailing address

717 Encino Place N.E.
Suite 26
Albuquerque, NM 87102
Phone (505) 884-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070105000049 TX Practitioner - NephrologyPractitioner - Internal Medicine 4587664107 Reassigns benefits to 1 organization
I20070803000293 NM Practitioner - NephrologyPractitioner - Internal Medicine 4587664107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of New Mexico, PCGroup PAC ID 2860566445, 5 clinicians

Practice addresses (Care Compare)

717 Encino PL NE
Suite 26
Albuquerque, NM 87102-2629
Phone (505) 884-4545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20050840NMMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of New Mexico, P.C. Nephrology CurrentSince Nov 20, 2017 Accepting new patients
Kewa Pueblo Health Corporation CurrentSince Mar 29, 2017 Accepting new patients
Central Texas Hospitalists, P.a. Past Accepting new patients

Locations

717 Encino Pl NE
Ste 26
Albuquerque, NM 87102
Phone (505) 243-2883

85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060

Interoperability endpoints

  • Direct secure messaging: ealas88155@ahs.direct-ci.com
  • Direct secure messaging: eduardo.alas@direct.davitaphysiciansolutions.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1932200904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PLACE N.E.",
            "address_2": "SUITE 26",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-884-4545",
            "fax_number": "505-884-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PLACE N.E.",
            "address_2": "SUITE 26",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-884-4545",
            "fax_number": "505-884-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAS",
        "first_name": "EDUARDO",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD20050840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.