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

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: October 18, 2026.

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

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 and is a graduate of University Of Minnesota Medical School (2021).

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
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2021
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4688075633
PECOS Enrollment IDI20260904003465
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.

Medicare Billing Reassignment

Medicare enrollment records show Diandra Little Dog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
8226 MENAUL BLVD NE # 610
Albuquerque, NM 87110
  • Reassigned Medicare billing, New Mexico enrollment
  • 111 clinicians in this Medicare group

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

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.

Nurse Anesthetist, Certified Registered
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Registered Nurse (Medical-Surgical)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Nurse Practitioner (Family)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Anesthesiology
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Physician Assistant
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Family Medicine
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Counselor (Professional)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Internal Medicine
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144

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 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.

Where is Diandra Little Dog located?

Diandra Little Dog practices at 3001 Broadmoor Blvd NE, Rio Rancho, NM 87144. The listed phone number is (505) 994-7000.

What is Diandra Little Dog's specialty?

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

Is Diandra Little Dog enrolled in Medicare?

Yes. Diandra Little Dog is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diandra Little Dog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diandra Little Dog reassigns Medicare benefits to Cura Healthcare (Albuquerque, NM). The 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 Diandra Little Dog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diandra Little Dog was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.