CARLOS ANDRES RUEDA MANTILLA MD – NPI #1003426743
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CARLOS RUEDA MANTILLA is a physician located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1003426743 to CARLOS RUEDA MANTILLA on August 07, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Aug 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARLOS RUEDA MANTILLA below.

NPI Profile for
CARLOS A. RUEDA MANTILLA

NPI Number
1003426743
Enumeration Date

(about 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CARLOS A. RUEDA MANTILLA
Professional Name: CARLOS ANDRES RUEDA MANTILLA
Credentials
MD
Primary location
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Phone: (505) 998-7400 Fax: (505) 998-7741
1 Other location(s):
4646 N Marine Dr
Chicago, IL 60640-5759
Phone: (312) 826-1105
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARLOS RUEDA MANTILLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARENM7S1691
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
NM MD2025-0400
207R00000X
- Internal Medicine
IL 125075440

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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