Physician Profile
Gilberto Heredia, M.D.
Unclaimed ProfileAbout Dr. Heredia
Gilberto Heredia, M.D. is a healthcare provider in Albuquerque, NM specializing in family medicine. Gilberto trained at Baylor College of Medicine, graduating in 1995. According to Medicare claims data, Gilberto cared for 159 Medicare patients across 259 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and hemoglobin a1c level.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (505) 842-8171
- Email not available
Practice Locations
4901 LANG AVE NE
Albuquerque, NM 87109
Conditions Commonly Evaluated or Treated
Within Family Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
Cardiometabolic
Digestive
Genitourinary and reproductive
Musculoskeletal and pain
Neurologic and behavioral
Respiratory and infectious
Skin
Common childhood and ear conditions
Pain & Joints
Procedures & services
Most searched procedures
Preventive interventions
Screening and testing
Diagnostic Tests
Exams & Screenings
Foot and Leg Pain
Heart & Circulation
Injections
Lungs & Breathing
Minor Procedures
Occupational Health
Office procedures
Pain Management
Preventive Care
Respiratory
Senior Care
Sexual & Reproductive Health
Skin Procedures
Sleep Health
Urgent Care Procedures
Wellness & Weight
Women's Health
Procedures Most Often Billed to Medicare
259 services · 159 patients · 4 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
151 | As often as other peers in Family Medicine |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
63 | As often as other peers in Family Medicine |
| Hemoglobin a1c level | Lab test | 83036 |
32 | As often as other peers in Family Medicine |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
13 | Less often than most peers in Family Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other family doctors at this location 3
Same specialty, same street address — most likely the same department or group.
Related specialists at this location 8
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 24 related providers in 3 groups
Other family doctors in Albuquerque 8
Same specialty, same city.
Trained at Baylor College of Medicine 8
Other providers in the same specialty who trained at the same institution.
Class of 1995 at Baylor College of Medicine 8
Providers who graduated from the same medical school in the same year.
Common questions
What does Gilberto Heredia specialize in?
Gilberto Heredia is a family doctor in Albuquerque, NM. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.
NPI registry
Where is Gilberto Heredia located?
Gilberto Heredia is listed at 4901 Lang Ave Ne, Albuquerque, NM 87109. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Gilberto Heredia's phone number?
The number on file is (505) 842-8171. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is Gilberto Heredia's NPI number?
Gilberto Heredia's National Provider Identifier is 1649299942. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Gilberto Heredia train?
Gilberto Heredia attended Baylor College of Medicine, graduating in 1995. This comes from the CMS National Downloadable File.
CMS public data
How long has Gilberto Heredia been practicing?
Gilberto Heredia has 31 years experience. Calculated from a graduation year of 1995, reported in the CMS National Downloadable File.
CMS public data
What does Gilberto Heredia do most often?
According to Medicare billing data, Gilberto Heredia the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Gilberto Heredia confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Gilberto Heredia. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.