DR. LIONEL MICHAEL CANDELARIA JR. MD, MPH
NPI 1285339572
Emergency Medicine in Albuquerque, NM

Active since April 04, 2023PECOS Enrolled
MSC11 6025 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5062(505) 272-6503 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lionel Michael Candelaria Jr. Md, Mph NPPES

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

DR. LIONEL MICHAEL CANDELARIA JR. MD, MPH (NPI 1285339572) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2026-0380) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285339572
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. LIONEL MICHAEL CANDELARIA JR.Credential: MD, MPH
Location AddressMSC11 6025 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc11 6025 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-5062 · Fax (505) 272-6503
Fax(505) 272-6503
Sole ProprietorNo
Enumeration DateApril 4, 2023
Last NPPES UpdateMay 21, 2026
NPPES CertifiedMay 21, 2026
NPI 1285339572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NM · MD2026-0380
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

MSC11 6025 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

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. Lionel Michael Candelaria Jr. Md, Mph 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 87131 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.

Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Family Medicine
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285339572, enumerated as an "individual" on April 04, 2023.

The provider is located at MSC11 6025 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM 87131 and the phone number is (505) 272-5062.

Emergency Medicine with taxonomy code 207P00000X.