Individual provider Active NPI

Lynda Adrouche-Amrani, M.D

  • Neonatal-Perinatal Medicine Physician
  • Los Alamos, NM
National Provider Identifier
1992964357
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD2010-0220 Issued in NM
Practice address
3917 West Rd
Los Alamos, NM 87544-2275
Phone
(505) 661-9226
Fax
(505) 661-9227
NPI assigned
Jun 2, 2008
Last updated
Sep 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neonatal-Perinatal Medicine Physician 2080N0001X MD2010-0220 NM Primary

Addresses

Primary practice location

3917 West Rd
Los Alamos, NM 87544-2275

Mailing address

PO Box 129
Los Alamos, NM 87544-0129
Phone (505) 661-9226

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
I20110104000061 NM Practitioner - Pediatric Medicine 9830387018 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2010-0220NMMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Apr 24, 2020 Accepting new patients
Los Alamos Physician Practices LLC CurrentSince Oct 1, 2014 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Oct 1, 2014 Accepting new patients
Unm Medical Group Inc CurrentSince Apr 24, 2020 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
University Health Services,Inc Past Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: gna8032@yourcarecommunity.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1992964357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875440129",
            "telephone_number": "505-661-9226",
            "fax_number": "505-661-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-661-9226",
            "fax_number": "505-661-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADROUCHE-AMRANI",
        "first_name": "LYNDA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NM",
            "license": "MD2010-0220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.