Individual provider Active NPI

Sivakumar Nagaraju, MD

  • Pulmonary Disease Physician
  • Albuquerque, NM
National Provider Identifier
1952373235
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2002-0499 Issued in NM
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201040737OtherNMPRESBYTERIAN HEALTH/SALUD
756710MedicaidAZ
NM009E22OtherNMBCBS
PROVP15697OtherNMMOLINA
10003714OtherNMLOVELACE HEALTH/SALUD
110248672OtherNMRAILROAD MEDICARE
33132739MedicaidNM
850313268002OtherCHAMPUS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000073 NM Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0042273906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

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

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Jun 1, 2020 Accepting new patients
Artesia General Hospital CurrentSince Jun 1, 2020 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Mar 1, 2018 Accepting new patients
Unm Medical Group, Inc. CurrentSince Sep 9, 2015 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Mar 1, 2018 Accepting new patients
Unm Medical Group Inc CurrentSince Sep 9, 2015 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.