Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TARUN GIROTRA MD
NPI 1164862413
Psychiatry & Neurology - Neurology in Albuquerque, NM

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
2211 LOMAS BLVD NE, 2ACC, DEPARTMENT OF NEUROLOGY, ALBUQUERQUE, NM 87106(313) 701-4795 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 18, 2026, Oct 8, 2025, Mar 5, 2025 and 3 more (6 updates tracked since 2018).

About Dr. Tarun Girotra Md NPPES

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

DR. TARUN GIROTRA MD (NPI 1164862413) is an individual neurology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2017-0956) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164862413
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. TARUN GIROTRACredential: MD
Location Address2211 LOMAS BLVD NE, 2ACC, DEPARTMENT OF NEUROLOGYAlbuquerque, NM 87106
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 1, 2013
Last NPPES UpdateSeptember 18, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1164862413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NM · MD2017-0956✔ Licensed in OR · MD221285✔ Licensed in NC · 2024-02340✔ Licensed in WI · 13235-320✔ Licensed in WA · MD61562837✔ Licensed in GA · 103657
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2211 LOMAS BLVD NE, Albuquerque, NM 87106

Secondary Practice Locations 3

Location 12801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-2200
Location 2200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-9437 · Fax (704) 384-9440
Location 32799 W Grand Blvd, Henry Ford Hospital, Medical Education DepartmentDetroit, MI 48202-2608 · Phone (313) 916-2600

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tarun Girotra 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 ID5890061089
PECOS Enrollment IDI20181110000010, I20251025000607, I20251113001717
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.

Medicare Billing Reassignments

14

Medicare enrollment records show Tarun Girotra reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
Internal Medicine
1398 WEIMER RD
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • Medicare enrollment name: Taos Health Systems Inc Holy Cross Hospital
  • 122 clinicians in this Medicare group
General Acute Care Hospital
2669 SCENIC DR
Alamogordo, NM 88310
  • Reassigned Medicare billing, New Mexico enrollment
  • 417 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Specialist
515 22ND AVE
Monroe, WI 53566
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
Clinic/Center
861 W MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 568 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
144 services73 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services39 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

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 87106 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Tarun Girotra's NPI number?

The NPI number for Tarun Girotra is 1164862413. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Tarun Girotra located?

Tarun Girotra practices at 2211 Lomas Blvd NE 2acc, Department Of Neurology, Albuquerque, NM 87106. The listed phone number is (313) 701-4795.

What is Tarun Girotra's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tarun Girotra enrolled in Medicare?

Yes. Tarun Girotra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tarun Girotra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarun Girotra reassigns Medicare benefits to 14 organizations: Unm Medical Group Inc (Albuquerque, NM), Taos Health Systems Inc Holy Cross (Taos, NM), Otero County Hospital Association (Alamogordo, NM), Multicare Health System (Spokane Valley, WA), The Monroe Clinic, Inc. (Monroe, WI) and 9 more organizations, listed in the Medicare section above. Each 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 Tarun Girotra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tarun Girotra accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of NC and Premera Blue Cross Blue Shield of Alaska list Tarun Girotra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tarun Girotra affiliated with any hospitals?

According to CMS data, Tarun Girotra is affiliated with Unm Hospital and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Tarun Girotra was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.