RIO GRANDE INTERNAL MEDICINE PC
NPI 1750688032
Clinic/Center - Medical Specialty in Albuquerque, NM

NPI Status: Active since February 22, 2011

Contact Information

4801 MCMAHON BLVD NW
SUITE 235
ALBUQUERQUE, NM
ZIP 87114
Phone: (505) 792-2636
Fax: (505) 234-1707

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  • Organization
  • Clinic/Center
  • Medical Specialty

About RIO GRANDE INTERNAL MEDICINE PC

This page provides the complete NPI Profile along with additional information for Rio Grande Internal Medicine Pc, a provider established in Albuquerque, New Mexico operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1750688032 assigned on February 2011. The practitioner's primary taxonomy code is 261QM2500X with license number 97251 (NM). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Kevin J Goodluck Md (President)

NPI
1750688032
Provider Name
RIO GRANDE INTERNAL MEDICINE PC
Entity Type
Organization
Location Address
4801 MCMAHON BLVD NW SUITE 235 ALBUQUERQUE, NM 87114
Location Phone
(505) 792-2636
Location Fax
(505) 234-1707
Mailing Address
4801 MCMAHON BLVD NW SUITE 235 ALBUQUERQUE, NM 87114
Mailing Phone
(505) 792-2636
Mailing Fax
(505) 234-1707
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2011
Last Update Date
10-19-2011
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
97251
License State
NM
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEVIN J GOODLUCK MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(505) 792-2636

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750688032
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001281606
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 1 + 6 + 0 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1750688032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891794038DR. STEVEN ANTHONY KOMADINA M.D.
Individual
Obstetrics & Gynecology (Gynecology)4801 MCMAHON BLVD NW #101
ALBUQUERQUE, NM 87114
(505) 893-2840
1679567242MR. STEPHEN H CHRISTIANSEN DDS
Individual
Dentist (Oral and Maxillofacial Surgery)4801 MCMAHON BLVD NW #230
ALBUQUERQUE, NM 87114
(505) 792-4788
1316094790 ROBERT CARLOS GALLEGOS PT
Individual
Physical Therapist4801 MCMAHON BLVD NW
ALBUQUERQUE, NM 87114
(505) 898-6082
1205981743MS. REGINA LOUISE HITE MSPT
Individual
Physical Therapist4801 MCMAHON BLVD NW
ALBUQUERQUE, NM 87114
(505) 727-2123
1720259716SELECT PHYSICAL THERAPY OF ALBUQUERQUE LIMITED PARTNERSHIP
Organization
Durable Medical Equipment & Medical Supplies4801 MCMAHON BLVD NW STE 150
ALBUQUERQUE, NM 87114
(717) 975-4503
1306072384MRS. TERESA RIOS MINERD LMT
Individual
Specialist4801 MCMAHON BLVD NW SUITE 100
ALBUQUERQUE, NM 87114
(505) 727-2116
1134435407MICHAEL S. MITNIK, M.D.,PC
Organization
Orthopaedic Surgery4801 MCMAHON BLVD NW SUITE 155
ALBUQUERQUE, NM 87114
(505) 893-2880
1992006167ELMER J PACHECO MD
Organization
Internal Medicine4801 MCMAHON BLVD NW SUITE 235
ALBUQUERQUE, NM 87114
(505) 922-1111
1184884801DR. SAHAR AMELIA CHAVEZ MD
Individual
Obstetrics & Gynecology4801 MCMAHON BLVD NW SUITE 110
ALBUQUERQUE, NM 87114
(505) 727-7274
1396703625MR. DUC C VUONG M.D.
Individual
Surgery4801 MCMAHON BLVD NW 245
ALBUQUERQUE, NM 87114
(505) 727-2300
1972923910 AMANDA WALKER RDLD
Individual
Dietitian, Registered4801 MCMAHON BLVD NW SUITE 245
ALBUQUERQUE, NM 87114
(505) 727-2300
1164528972LOVELACE HEALTH SYSTEM:PULMONARY DISEASE
Organization
Internal Medicine (Pulmonary Disease)4801 MCMAHON BLVD NW
ALBUQUERQUE, NM 87114
(505) 727-3100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750688032, enumerated in the NPI registry as an "organization" on February 22, 2011

The provider is located at 4801 Mcmahon Blvd Nw Suite 235 Albuquerque, Nm 87114 and the phone number is (505) 792-2636

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

This NPI record was last updated on February 22, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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