Dermatology of New Mexico LLC
NPI 1104468438 · Clinic/Center · Albuquerque, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology of New Mexico LLC is a Clinic/Center organization in Albuquerque, NM (NPI 1104468438).
Provider details
- NPI number
- 1104468438
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Suraj2252500 Reddy, Ceo / MD(505) 225-2500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-08
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is Dermatology of New Mexico LLC's NPI number?
- Dermatology of New Mexico LLC's National Provider Identifier (NPI) is 1104468438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology of New Mexico LLC?
- Dermatology of New Mexico LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dermatology of New Mexico LLC located?
- Dermatology of New Mexico LLC's practice location on file with NPPES is 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372.
- What is Dermatology of New Mexico LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology of New Mexico LLC is (505) 225-2500.
- Does Dermatology of New Mexico LLC accept Medicare?
- Dermatology of New Mexico LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology of New Mexico LLC?
- The authorized official listed on Dermatology of New Mexico LLC's NPPES record is Suraj2252500 Reddy, Ceo / MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology of New Mexico LLC's NPI active?
- Yes — Dermatology of New Mexico LLC's NPI (1104468438) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.