DAVITA MEDICAL GROUP
NPI 1245494723
Radiologic Technologist in Albuquerque, NM

Q: What is Optumcare New Mexico, LLC's NPI number?

The NPI number for Optumcare New Mexico, LLC is 1245494723. It was assigned to this organization in the NPPES registry on July 15, 2008. The provider is doing business as Davita Medical Group.

Q: What is Optumcare New Mexico, LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Active since July 15, 2008

5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 87109(505) 232-1500(505) 232-1584 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 20, 2019, Oct 18, 2017, Mar 2, 2017 (3 updates tracked since 2017).

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About Davita Medical Group NPPES

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

DAVITA MEDICAL GROUP (NPI 1245494723) is a healthcare organization registered as a radiologic technologist in Albuquerque, New Mexico and active in the NPI registry since July 2008. The organization lists John G Liethen, Secretary, as its authorized official.

NPPES Registry Identity

NPI1245494723

Entity TypeOrganization

Primary Taxonomy247100000X

Legal Business NameOPTUMCARE NEW MEXICO, LLC

Location Address5150 JOURNAL CENTER BLVD NEAlbuquerque, NM 87109-5900

Mailing AddressPo Box 26028Albuquerque, NM 87125-6028 · (505) 232-1500 · Fax (505) 232-1584

Phone(505) 232-1500

Fax(505) 232-1584

Organization SubpartNo

Authorized OfficialJohn G LiethenSecretary · (952) 205-6262

Enumeration DateJuly 15, 2008

Last NPPES UpdateAugust 20, 20193 updates tracked since enumeration

✔ NPI 1245494723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247100000X

Definition

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Also ListedRadiologic Technologist · Bone DensitometryTaxonomy 2471B0102X

Also ListedRadiologic Technologist · Computed TomographyTaxonomy 2471C3401X

Also ListedRadiologic Technologist · RadiographyTaxonomy 2471C3402X

Also ListedRadiologic Technologist · Magnetic Resonance ImagingTaxonomy 2471M1202X

Also ListedRadiologic Technologist · MammographyTaxonomy 2471M2300X

Also ListedRadiologic Technologist · SonographyTaxonomy 2471S1302X

Also ListedRadiologic Technologist · Vascular SonographyTaxonomy 2471V0105X

Also ListedRadiologic Technologist · Vascular-Interventional TechnologyTaxonomy 2471V0106X

5150 JOURNAL CENTER BLVD NE, Albuquerque, NM 87109

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Other Names 1

Doing Business AsDavita Medical Group

Other Identifiers 1

Medicaid93670567NM

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

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.

RACHEL TANSEY CNP

Nurse Practitioner (Family)

5150 JOURNAL CENTER BLVD NE, URGENT CARE
ALBUQUERQUE, NM 87109

Bernalillo County (505) 262-3233

WARREN J ROREBECK OD

Optometrist