MARIANTONIETA TIRADO GONZALEZ M.D.
NPI 1396025060
Pathology - Dermatopathology in Albuquerque, NM

Q: What is Mariantonieta Tirado Gonzalez's NPI number?

The NPI number for Mariantonieta Tirado Gonzalez is 1396025060. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Q: What is Mariantonieta Tirado Gonzalez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment

1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(505) 938-8100(505) 938-8868 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Feb 25, 2025, May 8, 2020 and 2 more (5 updates tracked since 2019).

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About Mariantonieta Tirado Gonzalez M.d. NPPES

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

MARIANTONIETA TIRADO GONZALEZ M.D. (NPI 1396025060) is an individual dermatopathology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2025-0726) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1396025060

Entity TypeIndividualFemale

Primary Taxonomy207ZD0900X

Provider Legal NameMARIANTONIETA TIRADO GONZALEZCredential: M.D.

Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930

Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310

Phone(505) 938-8100

Fax(505) 938-8868

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 25, 2011

Last NPPES UpdateAugust 28, 20255 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1396025060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZD0900X

Licenses✔ Licensed in NM · MD2025-0726✔ Licensed in MO · 2019025553✔ Licensed in TN · 60822

Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 2019025553 (MO)

1100 CENTRAL AVE SE, Albuquerque, NM 87106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariantonieta Tirado Gonzalez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224469143

PECOS Enrollment IDI20250902000094

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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number320001

Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320021

Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320022

Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County

Emergency services Birthing friendly

Presbyterian Santa Fe Medical Center

Acute Care Hospitals · Santa Fe, NM

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320090

Location4801 Beckner RoadSanta Fe, NM 87507 · Santa Fe County

Emergency services Birthing friendly

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321306

Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

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.

AUDRA DAWN CLEMENS PA-C

Physician Assistant

1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 724-6124

STEFANIE LEIGH RAITT PHARMD, PHC

Pharmacist (Pharmacotherapy)

1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 681-4154

SARAH VERTREES D.O.

Pediatrics

1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 841-1819

NICHOLAS WEISS D.O.

Emergency Medicine

1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 841-1125

LUKE EZEKIEL GLAZENER PA-C

Physician Assistant

1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 841-1125

SARAH LEW CRNA

Nurse Anesthetist, Certified Registered

1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 841-1234

NATALEE TRUEBA CCHW

Community Health Worker

1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 554-8161

PATRICIA MARY HERSON C.R.N.P.

Nurse Practitioner (Gerontology)

1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 252-7393

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 Mariantonieta Tirado Gonzalez's NPI number?

The NPI number for Mariantonieta Tirado Gonzalez is 1396025060. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Mariantonieta Tirado Gonzalez located?

Mariantonieta Tirado Gonzalez practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 938-8100.

What is Mariantonieta Tirado Gonzalez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Mariantonieta Tirado Gonzalez enrolled in Medicare?

Yes. Mariantonieta Tirado Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mariantonieta Tirado Gonzalez accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Mariantonieta Tirado Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mariantonieta Tirado Gonzalez affiliated with any hospitals?

According to CMS data, Mariantonieta Tirado Gonzalez is affiliated with Unm Hospital, Presbyterian Hospital, Plains Regional Medical Center, Presbyterian Santa Fe Medical Center and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Mariantonieta Tirado Gonzalez was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.