PUEBLO OF ISLETA
NPI 1194738328
Clinic/Center in Isleta, NM

Active since August 15, 2006
01 SAGEBRUSH, ISLETA, NM 87022(505) 869-3200(505) 869-4881 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2026, Sep 12, 2022, Nov 2, 2016 (3 updates tracked since 2016).

About Pueblo Of Isleta NPPES

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

PUEBLO OF ISLETA (NPI 1194738328), doing business as Isleta Health Center, is a healthcare organization registered as a clinic/center in Isleta, New Mexico and active in the NPI registry since August 2006. The organization lists Kimberly Pohl, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194738328
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePUEBLO OF ISLETA
Location Address01 SAGEBRUSHIsleta, NM 87022
Mailing AddressPo Box 640, 01 SagebrushIsleta, NM 87022
Fax(505) 869-4881
Organization SubpartNo
Authorized OfficialKimberly PohlCeo · (505) 869-3200
Enumeration DateAugust 15, 2006
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1194738328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
01 SAGEBRUSH, Isleta, NM 87022

Other Names 2

Doing Business AsIsleta Health Center
Doing Business AsPueblo Of Isleta Health Center

Other Identifiers 1

Medicaid30852081NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pueblo Of Isleta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Pueblo Of Isleta, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Family Practice6
Clinical Social Worker3
Optometry3
Pediatric Medicine2
Physical Therapist in Private Practice2
Podiatry2
Qualified Audiologist2
Mental Health Counselor1
3 other specialties3

Nearest to this location (20)

See all 24
Family Practice
NPI 1578657706
01 SAGEBRUSH
Isleta, NM 87022
(505) 869-4863
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1083194435
01 SAGEBRUSH STREET
Isleta, NM 87022
(505) 869-4595
✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1104073816
01 SAGEBRUSH STREET
Isleta, NM 87022
(505) 869-4863
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1083831051
01 SAGEBRUSH STREET
Isleta, NM 87022
(505) 869-4385
✔ PECOS0.1 mi
Family Practice
NPI 1265775597
1 SAGEBRUSH STREET
Isleta, NM 87022
(505) 869-4385
✔ PECOS0.2 mi
Podiatry
NPI 1811197346
1 SAGEBRUSH RD. ISLETA PUEBLO DIABETIC CLINIC
Isleta, NM 87022
(925) 642-0578
✔ PECOS✔ Accepts Medicare1.8 mi
Clinical Social Worker
NPI 1467005025
2001 CENTRO FAMILIAR BLVD SW
Albuquerque, NM 87105
(505) 873-7400
✔ PECOS✔ Accepts Medicare10 mi
Pediatric Medicine
NPI 1245246842
1 UNIVERSITY OF NM MSC 11 6025
Albuquerque, NM 87131
(505) 272-5062
✔ PECOS12 mi
Psychiatry
NPI 1295874287
801 VASSAR DR NE
Albuquerque, NM 87106
(505) 248-4012
✔ PECOS✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1013334523
01 SAGE BRUSH ST.
Isleta, NM 87022
(505) 869-4398
✔ Accepts Medicare16 mi
Optometry
NPI 1720712854
1 SAGEBRUSH ST SW
Albuquerque, NM 87105
(505) 869-4080
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1346879913
1 SAGEBRUSH ST SW
Albuquerque, NM 87105
(505) 869-3200
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1144883323
1 SAGEBRUSH ST SW
Albuquerque, NM 87105
(505) 869-3200
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1104455328
1 SAGEBRUSH ST SW
Albuquerque, NM 87105
(505) 869-3200
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1821774324
3810 MASTHEAD ST NE
Albuquerque, NM 87109
(505) 843-8758
✔ PECOS✔ Accepts Medicare19 mi
Qualified Audiologist
NPI 1124254875
1515 GOLF COURSE RD SE STE 103
Rio Rancho, NM 87124
(505) 933-6315
✔ Accepts Medicare23 mi
Mental Health Counselor
NPI 1447875133
1207 GOLF COURSE RD NE SUITE C
Rio Rancho, NM 87124
(505) 994-1229
✔ PECOS✔ Accepts Medicare23 mi
Clinical Social Worker
NPI 1104236694
1043 HIGHWAY 313
Bernalillo, NM 87004
(505) 867-3351
✔ PECOS✔ Accepts Medicare29 mi
Optometry
NPI 1154982551
1700 CERRILLOS RD
Santa Fe, NM 87505
(505) 988-9821
✔ PECOS✔ Accepts Medicare68 mi
Pediatric Medicine
NPI 1063679652
HWY 491 N NORTHERN NAVAJO MEDICAL CENTER
Shiprock, NM 87420
(505) 368-6001
✔ PECOS170 mi
See all 24 clinicians

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 Pueblo Of Isleta's NPI number?

The NPI number for Pueblo Of Isleta is 1194738328. It was assigned to this organization in the NPPES registry on August 15, 2006. The provider is doing business as Isleta Health Center and Pueblo of Isleta Health Center.

Where is Pueblo Of Isleta located?

Pueblo Of Isleta is located at 01 Sagebrush, Isleta, NM 87022. The listed phone number is (505) 869-3200.

What is Pueblo Of Isleta's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Pueblo Of Isleta enrolled in Medicare?

Yes. Pueblo Of Isleta is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pueblo Of Isleta?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 11 Medicare specialties reassign their Medicare billing to Pueblo Of Isleta. 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 Family Practice (6), Clinical Social Worker (3) and Optometry (3). Of these, 2 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 Pueblo Of Isleta was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.