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ALBINA ELIZABETH GADELIYA M.D.
NPI 1790820231
Family Medicine in Grand Junction, CO

Active since February 21, 2007PECOS Enrolled
3150 N 12TH ST, GRAND JUNCTION, CO 81506(970) 245-9370(970) 254-2595 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Apr 27, 2026, Aug 1, 2024 and 1 more (4 updates tracked since 2023).

About Albina Elizabeth Gadeliya M.d. NPPES

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

ALBINA ELIZABETH GADELIYA M.D. (NPI 1790820231) is an individual family medicine provider in Grand Junction, Colorado, licensed in Colorado (DR.0046257) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790820231
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALBINA ELIZABETH GADELIYACredential: M.D.
Location Address3150 N 12TH STGrand Junction, CO 81506-2863
Mailing AddressPo Box 10700Grand Junction, CO 81502-5517 · (970) 245-9370 · Fax (970) 254-2595
Phone(970) 245-9370
Fax(970) 254-2595
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1790820231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · DR.0046257✔ Licensed in NC · 2024-02007
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.
3150 N 12TH ST, Grand Junction, CO 81506
Open in Google Maps ↗

Secondary Practice Locations 3

Location 117230 Jackson Creek Pkwy Ste 300Monument, CO 80132-7306 · Phone (719) 571-7000 · Fax (719) 571-7059
Location 2100 Robinhood Medical PlzWinston Salem, NC 27106-5472 · Phone (336) 718-0800 · Fax (336) 718-0871
Location 33910 S Carefree Cir, Suite CColorado Springs, CO 80917-3010 · Phone (719) 574-4780 · Fax (719) 574-8405

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albina Elizabeth Gadeliya M.d. 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.

Areas of Expertise CMS Part B claims 6

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.
115 services86 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
56 services11 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.
51 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services30 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81506 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$12.99 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
6 suppliers50 claims50 services$65.74 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.

CHRISTINA L MOORE OT
Occupational Therapist
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 241-5856
PATRICK HENKE DO
Family Medicine
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-1220
S. CHRISTOPHER WEAVER MD
Family Medicine
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-1220
KENT E SNOWBARGER ED.D
Psychologist (Clinical)
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 242-5707
MOUNTAIN VALLEY REHABILITATION, PC
Clinic/Center (Physical Therapy)
3150 N 12TH ST, GARDEN LEVEL
GRAND JUNCTION, CO 81506
Mesa County (970) 241-5856
GARY A MILLER LCSW
Social Worker (Clinical)
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 242-5707
LACEY R ESTES PA
Physician Assistant
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 245-9370
VANESSA R CARTER R.D.
Dietitian, Registered
3150 N 12TH ST
GRAND JUNCTION, CO 81506
Mesa County (970) 255-1576

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 Albina Gadeliya's NPI number?

The NPI number for Albina Gadeliya is 1790820231. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Albina Gadeliya located?

Albina Gadeliya practices at 3150 N 12th St, Grand Junction, CO 81506. The listed phone number is (970) 245-9370.

What is Albina Gadeliya's specialty?

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

Is Albina Gadeliya enrolled in Medicare?

Yes. Albina Gadeliya is registered in the Medicare PECOS enrollment system.

What insurance does Albina Gadeliya accept?

Health plans from Blue Cross and Blue Shield of NC list Albina Gadeliya 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.

When was this NPI record last updated?

The NPPES record for Albina Gadeliya was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.