DAVITA MEDICAL GROUP – NPI #1245494723
Radiologic Technologist
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
DAVITA MEDICAL GROUP is a radiologic technologist located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1245494723 to DAVITA MEDICAL GROUP on July 15, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DAVITA MEDICAL GROUP” is a dba name, the actual legal business name for this organization is OPTUMCARE NEW MEXICO, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 7 years ago on Aug 20, 2019. 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 DAVITA MEDICAL GROUP below.
NPI Profile for
OPTUMCARE NEW MEXICO, LLC
(about 18 years ago)
ALBUQUERQUE, NM 87109-5900 Phone: (505) 232-1500 Fax: (505) 232-1584
ALBUQUERQUE, NM 87125-6028 Phone: (505) 232-1500 Fax: (505) 232-1584
SECRETARY
Phone: (952) 205-6262
Identifiers for DAVITA MEDICAL GROUP
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NM | 93670567 |
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.
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.