Chudi N Adi, M.D.
Individual provider Active NPI Nephrology Physician · Albuquerque, NM
NPI 1992980015 · NPPES record last updated Jan 18, 2013
Key facts
- NPI
- 1992980015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD2007-0703 (NM)
- Practice address
- 3821 Masthead St NE
Albuquerque, NM 87109-4679 - Phone
- (505) 998-7400
- Fax
- (505) 998-7741
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Renal Medicine Associates LTD.
Practice addresses (Care Compare)
3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 994-7400
Hospital & facility affiliations
- 322548 - Liberty Rio Rancho (FMC)
- 322546 - Liberty Albuquerque Dialysis (FMC)
- Presbyterian Hospital
- Lovelace Medical Center
- Plains Regional Medical Center
- Lovelace Women'S Hospital
- Lovelace Westside Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080430000736 | NM | Practitioner - Nephrology |
7113006230 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Home Dialysis | Nephrology | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current |
Accepting new patients |
| Renal Medicine Associates LTD. | Current |
Accepting new patients | |
| Renal Care Group South New Mexico, LLC | Past |
Accepting new patients |
Locations
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
3821 Masthead St NE
Albuquerque, NM 87109
Phone (505) 998-7400
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
313 W Country Club Rd
Ste 12
Roswell, NM 88201
Phone (505) 627-5828
Interoperability endpoints
- cadi32530@direct.acumenmd.com
- cadi6447@ahs.direct-ci.com
- cadi50487@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD2007-0703 | NM | Yes |
Addresses
Primary practice location
3821 Masthead St NE
Albuquerque, NM 87109-4679
Mailing address
3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 998-7400
Other providers in Albuquerque, NM
- Adelante Development Center, Inc.
- Adelante Development Center, Inc.
- Leanne M Adell
- Marty Adelman
- Rachel Adent
- Michael Adjei-Poku
- Yaw Amaning Adjei-Poku
- Denise Adkins
- Jamie Adkins
- Jeanelle Adkins
All providers in Albuquerque, NM · Nephrology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.