Provider Demographics
NPI:1134159692
Name:SCHMIDT, DARREN W (MD)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:W
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BRADBURY DR SE STE 116
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4310
Mailing Address - Country:US
Mailing Address - Phone:505-272-1476
Mailing Address - Fax:970-764-3839
Practice Address - Street 1:UNIVERSITY OF NEW MEXICO- HSC DIVISION OF NEPHROLOGY
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-8296
Practice Address - Country:US
Practice Address - Phone:970-272-0407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19045207RN0300X
NM2002-0186207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1583561Medicaid
MSRR P00413036OtherRAILROAD
MS04483205Medicaid
MSP00413036OtherRR MEDICARE
MSP00629132Medicare PIN
MS04483205Medicaid
MSI37516Medicare UPIN
MS390000152Medicare ID - Type Unspecified