Active NPI
Gary Lee Kaselonis, MD
- Neonatal-Perinatal Medicine Physician
- Albuquerque, NM
National Provider Identifier
1356326839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD2004-0776
- Practice address
- 4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219 - Phone
- (505) 727-8104
- NPI assigned
- Dec 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD2004-0776 | NM | Primary |
Addresses
Primary practice location
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Mailing address
PO Box 452036
Sunrise, FL 33345-2036
Phone (954) 838-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23833238 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2004-0776 | NM | MD | Neonatal-Perinatal Medicine Physician |
Interoperability endpoints
- gkaselonis8877@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356326839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452036",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452036",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091219",
"telephone_number": "505-727-8104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASELONIS",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NM",
"license": "MD2004-0776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23833238",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.