Provider profile

James NinomiyaMD

Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery

NPI 1902858681
Unm Department of Orthopaedics Msc 10-5600, 1 University of New Mexico, Albuquerque, NM 87131414-272-1647

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Medicare Advantage plans for Bernalillo County, NM.

Checked Oct 14, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 19 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list James on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 36 Medicare Advantage plans we show for Bernalillo County, NM in 2027

  • 19 list James
  • 15 not listed
  • 2 not checked yet

UnitedHealthcare

10 plans list James; not listed on 3 other plans.

10plans
  • AARP Medicare Advantage Direct OTC from UHC NM-14 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1010 Spruce St, Fl 2, Espanola, NM, 87532

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-142-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Direct Plus from UHC NM-15 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1010 Spruce St, Fl 2, Espanola, NM, 87532

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-143-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Essentials from UHC NM-4 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1010 Spruce St, Fl 2, Espanola, NM, 87532

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-089-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC NM-12 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1010 Spruce St, Fl 2, Espanola, NM, 87532

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-140-000Medicare.gov
    $0a month

Humana

7 plans list James; not listed on 4 other plans.

7plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1010 Spruce St, Espanola, NM, 87532
    • 1010 Spruce St, Fl 3, Espanola, NM, 87532
    • 1101 Michigan Ave, Ste 0, Logansport, IN, 46947
    • 1101 Michigan Ave, Logansport, IN, 46947

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-435-003Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1010 Spruce St, Espanola, NM, 87532
    • 1010 Spruce St, Fl 3, Espanola, NM, 87532
    • 1101 Michigan Ave, Ste 0, Logansport, IN, 46947
    • 1101 Michigan Ave, Logansport, IN, 46947

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-436-003Medicare.gov
    $0a month
  • Humana Value Choice (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1010 Spruce St, Espanola, NM, 87532
    • 1010 Spruce St, Fl 3, Espanola, NM, 87532
    • 1101 Michigan Ave, Ste 0, Logansport, IN, 46947
    • 1101 Michigan Ave, Logansport, IN, 46947

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-078-006Medicare.gov
    $0a month
  • HumanaChoice H5216-223 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1010 Spruce St, Espanola, NM, 87532
    • 1010 Spruce St, Fl 3, Espanola, NM, 87532
    • 1101 Michigan Ave, Ste 0, Logansport, IN, 46947
    • 1101 Michigan Ave, Logansport, IN, 46947

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-223-000Medicare.gov
    $20a month

Blue Cross and Blue Shield of IL, NM

1 plan lists James.

1plan
  • Blue Cross Medicare Advantage Basic (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1010 Spruce St, Espanola, NM, 87532
    • 1010 Spruce St, Fl 3, Espanola, NM, 87532

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH3822-002-000Medicare.gov
    $0a month

2 more Blue Cross and Blue Shield of IL, NM plans haven't been checked yet.

HealthSpring

1 plan lists James.

1plan
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1010 Spruce St, Espanola, NM, 87532

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage2.5 starsH0672-005-000Medicare.gov
    $0a month

Devoted

Not listed on its 6 plans here. That isn't proof they're out of network.

Molina Healthcare of New Mexico

Not listed on its 1 plan here. That isn't proof they're out of network.

Presbyterian Health Plan

Not listed on its 1 plan here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether James takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 22, 2026

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Practice location

Unm Department of Orthopaedics Msc 10-5600, 1 University of New Mexico
Albuquerque, NM 87131

NPI Registry
NPI issued
2006
Registry record updated
Apr 7, 2020

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list James Ninomiya?

In Bernalillo County, NM, 19 Medicare Advantage plans for 2027 list James in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage Direct OTC from UHC NM-14 (PPO), AARP Medicare Advantage Direct Plus from UHC NM-15 (PPO) and AARP Medicare Advantage Essentials from UHC NM-4 (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does James Ninomiya take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists James on 10 Medicare Advantage plans for 2027 in Bernalillo County, NM, including AARP Medicare Advantage Direct OTC from UHC NM-14 (PPO) and AARP Medicare Advantage Direct Plus from UHC NM-15 (PPO). 3 other plans did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does James Ninomiya take Humana Medicare Advantage plans?

Humana's own provider directory lists James on 7 Medicare Advantage plans for 2027 in Bernalillo County, NM, including Humana Essentials Plus Giveback (PPO) and Humana USAA Honor Giveback (PPO). 4 other plans did not return a listing in the search area. Confirm with the office or Humana before you enroll.

Does James Ninomiya take Blue Cross and Blue Shield of IL, NM Medicare Advantage plans?

Medicare.gov provider data lists James on one Medicare Advantage plan for 2027 in Bernalillo County, NM: Blue Cross Medicare Advantage Basic (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Blue Cross and Blue Shield of IL, NM before you enroll.

Where does James Ninomiya practice?

Unm Department of Orthopaedics Msc 10-5600, 1 University of New Mexico, Albuquerque, NM 87131.

How do I confirm James is in my plan's network?

Call the member services number on your plan card and give them the NPI 1902858681, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for James Ninomiya on 8 plans from Devoted, Molina Healthcare of New Mexico and Presbyterian Health Plan in Bernalillo County, NM. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2020-04-07). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by James Ninomiya or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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