NEW MEXICO CHILDRENS KIDNEY CENTER
NPI 1245478270
Specialist in Albuquerque, NM
NPI Status: Active since January 29, 2009
Contact Information
4343 PAN AMERICAN FWY NE
#234
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 842-5240
Fax: (505) 242-4403
- Organization
- Specialist
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 32D2163600
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-23-2026
About NEW MEXICO CHILDRENS KIDNEY CENTER
This page provides the complete NPI Profile along with additional information for New Mexico Childrens Kidney Center, a provider established in Albuquerque, New Mexico operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1245478270 assigned on January 2009. The practitioner's primary taxonomy code is 174400000X with license number 98-339 (NM). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Robert Benjamin Miller Iii M.d. (Pediatric Nephrology)
- NPI
- 1245478270
- Provider Name
- NEW MEXICO CHILDRENS KIDNEY CENTER
- Entity Type
- Organization
- Location Address
- 4343 PAN AMERICAN FWY NE #234 ALBUQUERQUE, NM 87107
- Location Phone
- (505) 842-5240
- Location Fax
- (505) 242-4403
- Mailing Address
- PO BOX 1560 LAS CRUCES, NM 88004
- Mailing Phone
- (505) 842-5240
- Mailing Fax
- (505) 242-4403
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-29-2009
- Last Update Date
- 10-06-2015
- Code Navigator
New Mexico Childrens Kidney Center is a medicare supplier with PTAN 20605019 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Canes and/or Crutches or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 98-339
- License State
- NM
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20605019
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel.
- Provider Type List
- PHYSICIAN – PODIATRY.
- Competitive Bidding
- NO
Supplies List
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D2163600
- Facility Type
- Physician Office
- Certificate Effective Date
- February 24, 2024
- Certificate Expiration Date
- February 23, 2026
- Laboratory Director
- DR. JOHN KEVIN DAY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to New Mexico Childrens Kidney Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245478270, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ALBUQUERQUE, NM 87107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245478270, enumerated as an "organization" on January 29, 2009.
The provider is located at 4343 PAN AMERICAN FWY NE #234 ALBUQUERQUE, NM 87107 and the phone number is (505) 842-5240.
Specialist with taxonomy code 174400000X.
