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JONATHAN VILASIER IRALU M.D.
NPI 1396774204
Internal Medicine in Gallup, NM

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301(505) 722-1000(505) 726-8557 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Vilasier Iralu M.d. NPPES

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

JONATHAN VILASIER IRALU M.D. (NPI 1396774204) is an individual internal medicine provider in Gallup, New Mexico, licensed in New Mexico (95-259) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Harvard Medical School (1987).

NPPES Registry Identity

NPI1396774204
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN VILASIER IRALUCredential: M.D.
Location Address516 E. NIZHONI BLVD., BOX 1337Gallup, NM 87301-1337
Mailing Address516 E. Nizhoni Blvd., Box 1337Gallup, NM 87301-1337 · (505) 722-1000 · Fax (505) 726-8557
Phone(505) 722-1000
Fax(505) 726-8557
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1987
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 11, 2008
✔ NPI 1396774204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · 95-259
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
516 E. NIZHONI BLVD., Gallup, NM 87301
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Other Identifiers 9

Medicare UPINF22248
Medicare ID-Type Unspecified8HC964TX · Hsz002
Medicare ID-Type Unspecified8HZ137TX · Hsz001
Medicare ID-Type Unspecified8HZ07QTX · Hsz003
Medicaid000R8847NM
Medicare ID-Type Unspecified8HZ151TX · Hsz006
Medicare ID-Type Unspecified8HBW94TX · Hsz197
Medicare ID-Type Unspecified8HZ058TX · Hsz005
Medicaid419631AZ

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

Jonathan Vilasier Iralu 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 ID8921990102
PECOS Enrollment IDI20040325000457
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims38 services$3.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers47 claims47 services$20.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers22 claims23 services$43.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers48 claims48 services$113.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TIMOTHY L. AMBROSE DDS
Dentist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DR. CARLOS MANUEL DE SANCTIS M.D.
Pediatrics
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DEVIN GLASSES PA-C
Physician Assistant
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
LILY HUGAR MA CCC-A
Audiologist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
ALICIA SLIM RN
Registered Nurse
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DONALD JOEL LEWIS-KRAITSIK M.D.
Family Medicine
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
JOHN M GOSSARD M.D.
Orthopaedic Surgery
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000
TARA A. WHITSON RDH
Dental Hygienist
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000

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 Jonathan Iralu's NPI number?

The NPI number for Jonathan Iralu is 1396774204. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Jonathan Iralu located?

Jonathan Iralu practices at 516 E. Nizhoni Blvd. Box 1337, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Jonathan Iralu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Iralu enrolled in Medicare?

Yes. Jonathan Iralu 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.

Is Jonathan Iralu affiliated with any hospitals?

According to CMS data, Jonathan Iralu is affiliated with Gallup Indian Medical Center and Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Jonathan Iralu was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.