Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DIANDRA LITTLE DOG MD
NPI 1275114126
Family Medicine in Rio Rancho, NM

Q: What is Diandra Little Dog's NPI number?

The NPI number for Diandra Little Dog is 1275114126. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Diandra Little Dog's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 20, 2021PECOS Enrolled

3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144(505) 994-7000 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2026, May 10, 2023, Apr 20, 2021 (3 updates tracked since 2021).

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About Dr. Diandra Little Dog Md NPPES

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

DR. DIANDRA LITTLE DOG MD (NPI 1275114126) is an individual family medicine provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2026-0726) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275114126

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DIANDRA LITTLE DOGCredential: MD

Location Address3001 BROADMOOR BLVD NERio Rancho, NM 87144-2100

Mailing Address3001 Broadmoor Blvd NeRio Rancho, NM 87144-2100 · (505) 994-7000

Phone(505) 994-7000

Sole ProprietorYes

Enumeration DateApril 20, 2021

Last NPPES UpdateSeptember 16, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1275114126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NM · MD2026-0726

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3001 BROADMOOR BLVD NE, Rio Rancho, NM 87144

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diandra Little Dog Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID KIM HOANG CRNA

Nurse Anesthetist, Certified Registered