Active NPI
Karam Bhalla, MD
- Internal Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2011-0813
- Practice address
- 4420 Irving Blvd NW
Albuquerque, NM 87114-5915 - Phone
- (505) 727-6300
- Fax
- (505) 727-9588
- NPI assigned
- Feb 6, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2005-0348 | NM | |
| Internal Medicine Physician | 207R00000X | MD2011-0813 | NM | Primary |
Addresses
Primary practice location
4420 Irving Blvd NW
Albuquerque, NM 87114-5915
Mailing address
4420 Irving Blvd NW
Albuquerque, NM 87114-5915
Phone (505) 727-6200
Other practice location 1
1721 Rio Rancho Dr SE
Albuquerque, NM 87124-1570
Phone (505) 896-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59326751 | Medicaid | NM |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-0348 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients | |
| Ipc Hospitalists of New Mexico, Inc | Internal Medicine | Current | Accepting new patients |
| Optumcare Endoscopy Center New Mexico, LLC | Past | Accepting new patients |
Locations
7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
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 and National Provider Directory roles.
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1578839163
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1962685834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1972642973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 IRVING BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145915",
"telephone_number": "505-727-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 IRVING BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145915",
"telephone_number": "505-727-6300",
"fax_number": "505-727-9588"
}
],
"practiceLocations": [
{
"address_1": "1721 Rio Rancho Dr SE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871241570",
"country_code": "US",
"telephone_number": "505-896-8600",
"fax_number": "505-896-8618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHALLA",
"first_name": "KARAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "2005-0348",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2011-0813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59326751",
"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 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.