CARLOS ANDRES RUEDA MANTILLA MD
NPI 1003426743
Internal Medicine - Nephrology in Albuquerque, NM

Q: What is Carlos Rueda Mantilla's NPI number?

The NPI number for Carlos Rueda Mantilla is 1003426743. It was assigned to this individual provider in the NPPES registry on August 7, 2020. The provider is also known as Carlos Andres Rueda Mantilla MD.

Q: What is Carlos Rueda Mantilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since August 07, 2020PECOS EnrolledAccepts Medicare Assignment

3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109(505) 998-7400(505) 998-7741 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Aug 7, 2020 (2 updates tracked since 2020).

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About Carlos Andres Rueda Mantilla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS ANDRES RUEDA MANTILLA MD (NPI 1003426743) is an individual nephrology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2025-0400) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1003426743

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameCARLOS ANDRES RUEDA MANTILLACredential: MD

Location Address3821 MASTHEAD ST NEAlbuquerque, NM 87109

Mailing Address3821 Masthead St NeAlbuquerque, NM 87109-4679 · (312) 826-1105

Phone(505) 998-7400

Fax(505) 998-7741

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 7, 2020

Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration

NPPES CertifiedAugust 1, 2025

✔ NPI 1003426743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NM · MD2025-0400

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125075440 (IL)

3821 MASTHEAD ST NE, Albuquerque, NM 87109

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Other Names 1

Professional Name (2)Carlos Andres Rueda Mantilla Md

Secondary Practice Location 1

Location 14646 N Marine DrChicago, IL 60640-5759 · Phone (312) 826-1105

Other Identifiers 1

Other7S1691NM · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos Andres Rueda Mantilla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406268739

PECOS Enrollment IDI20250714002742

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM

3/5 CMS rating

OwnershipProprietary

CMS Certification Number320009

Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County

Emergency services

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320021

Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ELIZABETH NIETO CNP

Nurse Practitioner (Adult Health)