NITOVO HEALTHCARE LLC
NPI 1124703525
Internal Medicine - Cardiovascular Disease in Albuquerque, NM

Active since June 21, 2023CLIA 32D2340627 · Waiver
11311 MENAUL BLVD NE, ALBUQUERQUE, NM 87112(505) 305-7766(505) 305-7066 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Jun 21, 2023 (2 updates tracked since 2023).

About Nitovo Healthcare Llc NPPES

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

NITOVO HEALTHCARE LLC (NPI 1124703525) is a healthcare organization registered as a cardiovascular disease in Albuquerque, New Mexico and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Suresh Neelagaru, Owner, as its authorized official.

NPPES Registry Identity

NPI1124703525
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNITOVO HEALTHCARE LLC
Location Address11311 MENAUL BLVD NEAlbuquerque, NM 87112-0008
Mailing Address11311 Menaul Blvd NeAlbuquerque, NM 87112-0008 · (505) 305-7766 · Fax (505) 305-7066
Fax(505) 305-7066
Organization SubpartNo
Authorized OfficialSuresh NeelagaruOwner · (505) 506-9638
Enumeration DateJune 21, 2023
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1124703525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedFamily MedicineTaxonomy 207Q00000X
11311 MENAUL BLVD NE, Albuquerque, NM 87112

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nitovo Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nitovo Healthcare LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Cardiovascular Disease (Cardiology)
NPI 1205813920
2500 US HIGHWAY 84
Chama, NM 87520
(505) 305-7766
✔ PECOS✔ Accepts Medicare122 mi
Family Practice
NPI 1114284445
7430 BARLITE BLVD STE 108
San Antonio, TX 78224
(210) 718-0850
✔ PECOS✔ Accepts Medicare612 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2340627

Nitovo Health Care LLC · Albuquerque, NM
Active · expires Mar 18, 2028
CLIA Number32D2340627
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorAnastasila Neelagaru
Laboratory Phone(505) 218-0976
Laboratory LocationNitovo Health Care LLC11311 Menaul Blvd NE, Albuquerque, NM 87112
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nitovo Healthcare LLC's NPI number?

The NPI number for Nitovo Healthcare LLC is 1124703525. It was assigned to this organization in the NPPES registry on June 21, 2023.

Where is Nitovo Healthcare LLC located?

Nitovo Healthcare LLC is located at 11311 Menaul Blvd NE, Albuquerque, NM 87112. The listed phone number is (505) 305-7766.

What is Nitovo Healthcare LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nitovo Healthcare LLC enrolled in Medicare?

Yes. Nitovo Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nitovo Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nitovo Healthcare LLC, in Cardiovascular Disease (Cardiology) and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nitovo Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2340627) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nitovo Healthcare LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.