Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon Hallstrom

Individual provider Diagnostic Radiology Physician · NPI 1508039686

Jon Hallstrom is a Diagnostic Radiology in Albuquerque, New Mexico. Graduated from Ohio State University College of Medicine in 2008, 18 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying
18
Trained at
Ohio State University College of Medicine
Licensed in
CA, NM
In the registry since
2008
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-2269
Fax: (505) 272-5821
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MB2014-0117 (NM)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A125160 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508039686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2008
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025
Mailing address800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque