DIEGO GONZALEZ MD PC
NPI 1134064504
Clinic/Center - Rehabilitation in Albuquerque, NM

Active since April 22, 2026
4630 JEFFERSON LANE NE, SUITE C, ALBUQUERQUE, NM 87109(505) 633-4141 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Diego Gonzalez Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIEGO GONZALEZ MD PC (NPI 1134064504) is a healthcare organization registered as a rehabilitation in Albuquerque, New Mexico and active in the NPI registry since April 2026. The organization lists Diego J Gonzalez, Doctor, as its authorized official.

NPPES Registry Identity

NPI1134064504
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameDIEGO GONZALEZ MD PC
Location Address4630 JEFFERSON LANE NE, SUITE CAlbuquerque, NM 87109
Mailing Address8100 Wyoming Blvd Ne, Suite M4 #308Albuquerque, NM 87113
Organization SubpartYesParent: Diego J Gonzalez Md Pc
Authorized OfficialDiego J GonzalezDoctor · (505) 250-8337
Enumeration DateApril 22, 2026
✔ NPI 1134064504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
4630 JEFFERSON LANE NE, Albuquerque, NM 87109

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diego Gonzalez Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Diego Gonzalez MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1356188304
4630 JEFFERSON LN NE STE C
Albuquerque, NM 87109
(505) 633-4141
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649222910
3825 EUBANK BLVD NE
Albuquerque, NM 87111
(800) 640-3451
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1538667068
8100 WYOMING BLVD NE STE M4
Albuquerque, NM 87113
(505) 727-7177
✔ PECOS✔ Accepts Medicare3.4 mi
Physical Therapist in Private Practice
NPI 1336491059
8300 CONSTITUTION AVE NE
Albuquerque, NM 87110
(505) 291-2967
3.5 mi
Pain Management
NPI 1194715938
8300 CARMEL AVE NE STE 500-501
Albuquerque, NM 87122
(505) 633-4141
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1093312480
500 MARQUETTE AVE NW STE 1200
Albuquerque, NM 87102
(866) 849-0692
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1134468820
413 SIPAPU ST BOX 6952
Taos, NM 87571
(575) 758-5857
✔ PECOS✔ Accepts Medicare104 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diego Gonzalez MD PC's NPI number?

The NPI number for Diego Gonzalez MD PC is 1134064504. It was assigned to this organization in the NPPES registry on April 22, 2026.

Where is Diego Gonzalez MD PC located?

Diego Gonzalez MD PC is located at 4630 Jefferson Lane NE Suite C, Albuquerque, NM 87109. The listed phone number is (505) 633-4141.

What is Diego Gonzalez MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Diego Gonzalez MD PC enrolled in Medicare?

Yes. Diego Gonzalez MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diego Gonzalez MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Diego Gonzalez MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Physical Therapist in Private Practice (2) and Pain Management (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diego Gonzalez MD PC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.