Active NPI
Diego J Gonzalez, M.D.
- Interventional Pain Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD2004-0201
- Practice address
- 8300 Carmel Ave NE Ste 500-501
Albuquerque, NM 87122-3147 - Phone
- (505) 633-4141
- Fax
- (505) 633-4144
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2004-0201 | NM | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2004-0201 | NM | |
| Interventional Pain Medicine Physician | 208VP0014X | MD2004-0201 | NM | Primary |
Addresses
Primary practice location
8300 Carmel Ave NE Ste 500-501
Albuquerque, NM 87122-3147
Mailing address
8100 Wyoming Blvd NE # M4308
Albuquerque, NM 87113-1946
Phone (505) 633-4141
Other practice location 1
8100 Wyoming Blvd NE Ste M4
Albuquerque, NM 87113-1963
Phone (505) 727-7177
Other practice location 2
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Phone (505) 633-4141
Other practice location 3
1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 633-4141
Other practice location 4
101 Hospital Loop NE Ste 109
Albuquerque, NM 87109-2100
Phone (505) 966-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58830839 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Hospital Loop NE
Suite 109
Albuquerque, NM 87109-2100
Phone (505) 727-4400
Hospital & facility affiliations
- Lovelace Women'S Hospital
- Lovelace Westside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-0201 | NM | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Anesthesia of New Mexico, LLC | Anesthesiology | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Pain Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Interventional Pain Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Family Medicine | Current | Accepting new patients |
| Diego J Gonzalez MD PC | Current | Accepting new patients | |
| Diego Gonzalez MD PC | Current | Accepting new patients |
Locations
4630 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 361-1931
101 Hospital Loop NE
Ste 109
Albuquerque, NM 87109
Phone (505) 727-4400
8300 Carmel Ave NE
Ste 500501
Albuquerque, NM 87122
Phone (505) 633-4141
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
Interoperability endpoints
- dgonzalez16444@ahs.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Clinic/Center
- Albuquerque, NM
- NPI 1518478866
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
Pain Medicine
-
- Rehabilitation Clinic/Center
- Albuquerque, NM
- NPI 1134064504
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Family Medicine
-
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
Interventional Pain Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1194715938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 WYOMING BLVD NE # M4308",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131946",
"telephone_number": "505-633-4141",
"fax_number": "505-243-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 CARMEL AVE NE STE 500-501",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871223147",
"telephone_number": "505-633-4141",
"fax_number": "505-633-4144"
}
],
"practiceLocations": [
{
"address_1": "8100 Wyoming Blvd NE Ste M4",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871131963",
"country_code": "US",
"telephone_number": "505-727-7177",
"fax_number": "505-727-3778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8300 Constitution Ave NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871107613",
"country_code": "US",
"telephone_number": "505-633-4141",
"fax_number": "505-633-4144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 Red Rock Dr",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873015683",
"country_code": "US",
"telephone_number": "505-633-4141",
"fax_number": "505-633-4144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Hospital Loop NE Ste 109",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871092100",
"country_code": "US",
"telephone_number": "505-966-4141",
"fax_number": "505-633-4144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DIEGO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "2004-0201",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NM",
"license": "2004-0201",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NM",
"license": "MD2004-0201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58830839",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.