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 .

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1639580749. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
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

By nature of payment

Food and Beverage
$35