DR. LIONEL MICHAEL CANDELARIA DDS
NPI 1750359618
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
7308 WADI MUSA DR NE, ALBUQUERQUE, NM 87122(505) 321-8291 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2023, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Lionel Michael Candelaria Dds NPPES

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

DR. LIONEL MICHAEL CANDELARIA DDS (NPI 1750359618) is an individual oral and maxillofacial surgery provider in Albuquerque, New Mexico, licensed in New Mexico (DD1894) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1750359618
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LIONEL MICHAEL CANDELARIACredential: DDS
Location Address7308 WADI MUSA DR NEAlbuquerque, NM 87122-3346
Mailing Address6800 Montgomery Blvd Ne, Suite AAlbuquerque, NM 87109-1405 · (505) 881-1130 · Fax (505) 881-2081
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 8, 2006
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1750359618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NM · DD1894
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7308 WADI MUSA DR NE, Albuquerque, NM 87122

Other Identifiers 1

OtherNM100139NM · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lionel Michael Candelaria Dds 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 ID1951470020
PECOS Enrollment IDI20080515000003
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 Lionel Candelaria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87122 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
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lionel Candelaria's NPI number?

The NPI number for Lionel Candelaria is 1750359618. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Lionel Candelaria located?

Lionel Candelaria practices at 7308 Wadi Musa Dr NE, Albuquerque, NM 87122. The listed phone number is (505) 321-8291.

What is Lionel Candelaria's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Lionel Candelaria enrolled in Medicare?

Yes. Lionel Candelaria 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.

Which organization bills Medicare for Lionel Candelaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lionel Candelaria reassigns Medicare benefits to Unm Medical Group Inc (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 Lionel Candelaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lionel Candelaria accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Lionel Candelaria 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 Lionel Candelaria affiliated with any hospitals?

According to CMS data, Lionel Candelaria is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Lionel Candelaria was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.