MARK CONNEELY MD NPI 1366429235

NPI Information

  • NPI: 1366429235
  • Provider Name: MARK CONNEELY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 BRADBURY DR SE STE 116
    ALBUQUERQUE, NM
    ZIP 87106
  • Phone: (505) 272-1476

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NPI Details

Mark Conneely, MD is a diagnostic radiology radiology in Albuquerque, NM with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark Conneely, MD NPI is 1366429235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM
ZIP 87106-310
Phone: (505) 272-1476

The NPI 1366429235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 1/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiology36107351ILLINOISNo
22085R0202XRadiologyDiagnostic RadiologyMD2025-0104NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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