DR. RANDOLPH P BACA JR. MD
NPI 1790982643
Psychiatry & Neurology - Psychiatry in Albuquerque, NM
About Dr. Randolph P Baca Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDOLPH P BACA JR. MD (NPI 1790982643) is an individual psychiatry provider in Albuquerque, New Mexico, licensed in New Mexico (AG3361893-B416) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains a secondary practice location in Albuquerque.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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. Randolph P Baca Jr. 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.
Medicare Billing Reassignments
6Medicare enrollment records show Randolph Baca reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87102
- Reassigned Medicare billing, New Mexico enrollment
Albuquerque, NM 87102
- Reassigned Medicare billing, New Mexico enrollment
- 59 clinicians in this Medicare group
Albuquerque, NM 87102
- Reassigned Medicare billing, New Mexico enrollment
- 24 clinicians in this Medicare group
Albuquerque, NM 87114
- Reassigned Medicare billing, New Mexico enrollment
- 37 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, New Mexico enrollment
- 75 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, New Mexico enrollment
- 75 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lovelace Medical Center
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87102
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 Randolph Baca's NPI number?
The NPI number for Randolph Baca is 1790982643. It was assigned to this individual provider in the NPPES registry on July 2, 2007.
Where is Randolph Baca located?
Randolph Baca practices at 1003 Luna Cir NW, Albuquerque, NM 87102. The listed phone number is (505) 504-5505.
What is Randolph Baca's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Randolph Baca enrolled in Medicare?
Yes. Randolph Baca 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 Randolph Baca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Baca reassigns Medicare benefits to 6 organizations: Four Corners Mental And Behavioral Health PC (Albuquerque, NM), Lovelace Health System LLC (Albuquerque, NM), Behavioral Health Services Of New Mexico LLC (Albuquerque, NM), New Mexico United Psych LLC (Albuquerque, NM), Psychiatry Of Texas PLLC (Houston, TX) and 1 more organization, 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 Randolph Baca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Randolph Baca affiliated with any hospitals?
According to CMS data, Randolph Baca is affiliated with Lovelace Medical Center.
When was this NPI record last updated?
The NPPES record for Randolph Baca was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Randolph P Baca Jr., MD · NPI 1790982643
Psychiatry physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 2, 2007.
## Identity
- **NPI:** 1790982643 (Entity type: Individual)
- **Enumerated:** July 2, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** AG3361893-B416 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1003 LUNA CIR NW, Albuquerque, NM 87102-1973
- **Phone:** (505) 504-5505 · **Fax:** (505) 214-5614
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Four Corners Mental And Behavioral Health PC (NPI 1891056909, Albuquerque, NM); Lovelace Health System LLC (NPI 1275711178, Albuquerque, NM); Behavioral Health Services Of New Mexico LLC (NPI 1427330679, Albuquerque, NM); New Mexico United Psych LLC (NPI 1003783812, Albuquerque, NM); Psychiatry Of Texas PLLC (NPI 1013476027, Houston, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** August 29, 2023
- **Other identifiers:** Medicaid 13558242 (NM)
---
Source: [NPI Profile](https://npiprofile.com/npi/1790982643) · Data from the CMS NPPES public registry.