1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Podiatrist
  6. NPI Profile

DR. NELIDA DUMITRACHE DPM
NPI 1225263734
Podiatrist in Albuquerque, NM

Active since May 28, 2009PECOS Enrolled
83.84/100
CMS Quality Rating
5901 HARPER DR NE, ALBUQUERQUE, NM 87109(505) 823-8444(505) 823-8494 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nelida Dumitrache Dpm NPPES

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

DR. NELIDA DUMITRACHE DPM (NPI 1225263734) is an individual podiatrist in Albuquerque, New Mexico, licensed in New Mexico (337) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1225263734
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. NELIDA DUMITRACHECredential: DPM
Location Address5901 HARPER DR NEAlbuquerque, NM 87109-3587
Mailing AddressPo Box 26666, Presbyterian Healthcare Services - Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 823-8444
Fax(505) 823-8494
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 28, 2009
Last NPPES UpdateJuly 13, 2015
✔ NPI 1225263734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NM · 337
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5901 HARPER DR NE, Albuquerque, NM 87109
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN411967YS5YNM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nelida Dumitrache Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608041801
PECOS Enrollment IDI20111216000708
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
371 services166 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
205 services142 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
107 services57 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
65 services16 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
33 services18 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.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
4 suppliers33 claims64 services$57.86 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
4 suppliers11 claims60 services$24.15 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
4 suppliers14 claims84 services$37.34 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims800 services$0.10 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims1,800 services$0.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BILL DAUGHERTY MD
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8233
SHERRIE DUGAS
Nurse Practitioner (Family)
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8870
DR. JEFFREY ROSS M.D.
Specialist
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 848-3730
SONIA CHAVEZ FNP
Nurse Practitioner (Family)
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8233
BRET LAPOINTE MD
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8233
JANELLE MONTOYA M.D.
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8282
PARASTOU MALEK M.D.
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8888
ALEXANDRA CARTER PA-C
Physician Assistant
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8223

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 Nelida Dumitrache's NPI number?

The NPI number for Nelida Dumitrache is 1225263734. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Nelida Dumitrache located?

Nelida Dumitrache practices at 5901 Harper Dr NE, Albuquerque, NM 87109. The listed phone number is (505) 823-8444.

What is Nelida Dumitrache's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Nelida Dumitrache enrolled in Medicare?

Yes. Nelida Dumitrache is registered in the Medicare PECOS enrollment system.

What insurance does Nelida Dumitrache accept?

Health plans from UnitedHealthcare list Nelida Dumitrache 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 Nelida Dumitrache affiliated with any hospitals?

According to CMS data, Nelida Dumitrache is affiliated with Lovelace Medical Center and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Nelida Dumitrache was last updated on July 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.