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ADRIAN RENALDI DO
NPI 1275099699
Internal Medicine in Rio Rancho, NM

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
184 UNSER BLVD NE STE B, RIO RANCHO, NM 87124(505) 896-0928 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 22, 2024, Jul 11, 2022, Jul 1, 2020 and 1 more (4 updates tracked since 2019).

About Adrian Renaldi Do NPPES

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

ADRIAN RENALDI DO (NPI 1275099699) is an individual internal medicine provider in Rio Rancho, New Mexico, licensed in New Mexico (DO2022-0006) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains a secondary practice location in Socorro.

NPPES Registry Identity

NPI1275099699
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADRIAN RENALDICredential: DO
Location Address184 UNSER BLVD NE STE BRio Rancho, NM 87124-4045
Mailing Address184 Unser Blvd Ne Ste BRio Rancho, NM 87124-4045 · (505) 896-0928
Phone(505) 896-0928
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2019
Enumeration DateFebruary 11, 2019
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1275099699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NM · DO2022-0006✔ Licensed in OK · 7031
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
184 UNSER BLVD NE STE B, Rio Rancho, NM 87124
Open in Google Maps ↗

Secondary Practice Location 1

Location 11300 Enterprise RdSocorro, NM 87801-4199 · Phone (575) 835-4444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adrian Renaldi Do 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 ID7911390430
PECOS Enrollment IDI20220709000923
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 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
53 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services24 patients

Hospital Affiliations CMS Care Compare

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

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 87124 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.

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE LILLIANNA SCHULTZ LMHC LSAA
Counselor (Mental Health)
184 UNSER BLVD NE STE B
RIO RANCHO, NM 87124
Sandoval County (505) 896-0928
MIKHAILE RAMOS CNP
Nurse Practitioner (Family)
184 UNSER BLVD NE STE B
RIO RANCHO, NM 87124
Sandoval County (505) 896-0928

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 Adrian Renaldi's NPI number?

The NPI number for Adrian Renaldi is 1275099699. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Where is Adrian Renaldi located?

Adrian Renaldi practices at 184 Unser Blvd NE Ste B, Rio Rancho, NM 87124. The listed phone number is (505) 896-0928.

What is Adrian Renaldi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adrian Renaldi enrolled in Medicare?

Yes. Adrian Renaldi 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.

What insurance does Adrian Renaldi accept?

Health plans from Blue Cross and Blue Shield of Texas list Adrian Renaldi 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 Adrian Renaldi affiliated with any hospitals?

According to CMS data, Adrian Renaldi is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Adrian Renaldi was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.