Active NPI
Sivakumar Nagaraju, MD
- Pulmonary Disease Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2002-0499
- Practice address
- 500 Walter St NE Ste 501
Albuquerque, NM 87102-2521 - Phone
- (505) 727-3170
- Fax
- (505) 727-3171
- NPI assigned
- Feb 2, 2006
- Last updated
- Dec 11, 2019
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2002-0499 | NM | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 2002-0499 | NM |
Addresses
Primary practice location
500 Walter St NE Ste 501
Albuquerque, NM 87102-2521
Mailing address
500 Walter St NE Ste 501
Albuquerque, NM 87102-2521
Phone (505) 727-3170
Other practice location 1
2111 College Dr
Gallup, NM 87301-5600
Phone (505) 863-1820
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201040737 | Other | NM | PRESBYTERIAN HEALTH/SALUD |
| 756710 | Medicaid | AZ | |
| NM009E22 | Other | NM | BCBS |
| PROVP15697 | Other | NM | MOLINA |
| 10003714 | Other | NM | LOVELACE HEALTH/SALUD |
| 110248672 | Other | NM | RAILROAD MEDICARE |
| 33132739 | Medicaid | NM | |
| 850313268002 | Other | CHAMPUS |
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
- Pulmonary Disease
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (505) 727-2000
320 Seven Springs Way
Suite 100
Brentwood, TN 37027-5697
340 Seven Springs Way
Suite 100
Brentwood, TN 37027-5697
500 Walter St NE
Suite 501
Albuquerque, NM 87102-2521
Phone (505) 727-3170
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artesia General Hospital | Current | Accepting new patients | |
| Artesia General Hospital | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| McCready Foundation Inc | Past | Accepting new patients | |
| Lovelace Health System LLC | Past | Accepting new patients | |
| Artesia General Hospital | Past | Accepting new patients |
Locations
500 Walter St NE
Ste 501
Albuquerque, NM 87102
Phone (505) 244-0080
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262
702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333
1410 N 8th St
Ste C
Carlsbad, NM 88220
Phone (575) 263-2789
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
- snagaraju9953@ahs.direct-ci.com
Organizations & group practices 9
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.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
dba Artesia Healthcare Professionals
- Surgery Physician
- Artesia, NM
- NPI 1114076825
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Medicare Defined Swing Bed Hospital Unit
- Artesia, NM
- NPI 1023146917
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
dba UNM Truman Health Services Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba McCready Addiction Services
- Addiction (Substance Use Disorder) Counselor
- Crisfield, MD
- NPI 1003366899
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corus Health
- Primary Care Nurse Practitioner
- Albuquerque, NM
- NPI 1205887452
Hospice
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Westside Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1952373235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WALTER ST NE STE 501",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022521",
"telephone_number": "505-727-3170",
"fax_number": "505-727-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WALTER ST NE STE 501",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022521",
"telephone_number": "505-727-3170",
"fax_number": "505-727-3171"
}
],
"practiceLocations": [
{
"address_1": "2111 College Dr",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873015600",
"country_code": "US",
"telephone_number": "505-863-1820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGARAJU",
"first_name": "SIVAKUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NM",
"license": "2002-0499",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NM",
"license": "2002-0499",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH/SALUD",
"identifier": "201040737",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "756710",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM009E22",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP15697",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH/SALUD",
"identifier": "10003714",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110248672",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33132739",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "850313268002",
"state": null
}
],
"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 Dec 11, 2019; 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.