Doctor profile · Federal record
Dr. NOELLE BAROODY, PA-C, DOM
Surgical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · Acupuncturist · GRANTS, NM
- NPI 1639580749
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1423 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-6500
fax (505) 287-5393 - Additional location
-
1016 E Roosevelt Ave
Grants, NM 870202118
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Profile last updated
- April 14, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- New Mexico #PA2022-0139 · New Mexico #1140
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639580749. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$35
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, Inc. | 1 | $20.32 | |
| Lilly USA, LLC | 1 | $14.71 |