Individual provider Active NPI

Dale Wilson Gunn, M.D.

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1699870972
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
92-67 Issued in NM
Practice address
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102
Phone
(505) 298-0301
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 92-67 NM Primary

Addresses

Primary practice location

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102

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 NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040508000402 NM Practitioner - Diagnostic Radiology 9537158183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5888
Phone (505) 332-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.28 of 100Reported as group
Quality
90
Improvement activities
40
Cost
77.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92-67NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Dec 31, 2019 Accepting new patients
Zia Diagnostic Imaging Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Dec 31, 2019 Accepting new patients
Advanced Imaging LLC Past Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Palm Beach Efl Imaging Center LLC Diagnostic Radiology Past Accepting new patients

Locations

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

5400 Gibson Blvd SE
Albuquerque, NM 87108
Phone (505) 262-7174

401 San Mateo Blvd SE
Albuquerque, NM 87108
Phone (505) 462-7333

4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

609 Christopher Dr
Belen, NM 87002
Phone (505) 861-1771

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140

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.

Hospital & facility affiliations 3

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1699870972",
    "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",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-298-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "DALE",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "92-67",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.