NPIMap

Individual provider Active NPI

Willie L Nunez, M.D.

  • Vascular & Interventional Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1689808693
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD2012-0230 Issued in NM
Practice address
601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone
(505) 298-0301
NPI assigned
May 5, 2009
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2012-230 NM
Vascular & Interventional Radiology Physician 2085R0204X MD2012-0230 NM Primary

Addresses

Primary practice location

601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619

Mailing address

PO Box 4934
Albuquerque, NM 87196-4934
Phone (505) 298-0301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, TX, MT4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200214000859 CA Practitioner - Diagnostic Radiology 5193042174
I20210107002901 AZ Practitioner - Diagnostic Radiology 5193042174 Reassigns benefits to 3 organizations
I20210507000501 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5193042174 Reassigns benefits to 2 organizations
I20250122002522 MT Practitioner - Diagnostic Radiology 5193042174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of New Mexico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 2668649567, 72 clinicians
White Mountain RadiologyGroup PAC ID 2365429123, 21 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Frances Mahon Deaconess HospitalGroup PAC ID 3173430949, shared by 5 NPIs, 38 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 9436325420, 31 clinicians

Practice addresses (Care Compare)

200 W Hospital Dr
Whiteriver, AZ 85941-0860
Phone 92833849113532

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3500

Highway 264 Milepost
Suite 388
Polacca, AZ 86042-4000

N Cromwell Rd
Cibecue Health Ctr
Cebecue, AZ 85911-0037
Phone 92833849113532

PO Box
4000 Hwy 264 Milepost 388
Polacca, AZ 86042-4000

PO Box
Suite 860
Whiteriver, AZ 85941-0860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2012-230NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Diagnostic Radiology CurrentSince Dec 2, 2024 Accepting new patients
Summit Healthcare Association CurrentSince Mar 1, 2021 Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
DHHS IHS Phoenix Area Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 1, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 1, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince Dec 2, 2024 Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince Dec 1, 2025 Accepting new patients
Kennewick Radiology Group, PC Diagnostic Radiology PastSince Aug 1, 2021 Accepting new patients
Delta Sierra Medical Group, Inc PastSince Dec 7, 2025 Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-5848

621 3rd St S
Glasgow, MT 59230
Phone (406) 228-3500

Interoperability endpoints

  • Direct secure messaging: wnunez329308@scrippshlth.medalliesdirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1689808693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4934",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871964934",
            "telephone_number": "505-298-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR MARTIN LUTHER KING JR AVE NE",
            "address_2": "LOVELACE MEDICAL CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023619",
            "telephone_number": "505-298-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "WILLIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2012-230",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "MD2012-0230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.