NPIMap

Organization Active NPI

Robben R. Gingery, MD, LLC

  • Geriatric Psychiatry Physician
  • Rio Rancho, NM
National Provider Identifier
1033527015
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
91-207 Issued in NM
Legal business name
ROBBEN R. GINGERY, MD, LLC
Practice address
3188 Southern Blvd SE
Suite B1
Rio Rancho, NM 87124-1990
Phone
(505) 200-9158
Fax
(505) 200-9497
NPI assigned
Jul 23, 2014
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robben R Gingery, MD LLCNPI 1255422101
Title
Owner
Phone
(505) 200-9158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 91-207 NM Primary

Addresses

Primary practice location

3188 Southern Blvd SE
Suite B1
Rio Rancho, NM 87124-1990

Mailing address

3188 Southern Blvd SE
Suite B1
Rio Rancho, NM 87124-1990
Phone (505) 200-9158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209001273 NM Part B Supplier - Clinic/Group Practice 0042514242 Receives reassigned benefits from 23 practitioners
Practice locations: Rio Rancho, NM

National Provider Directory

National Provider Directory

Locations

4113 Eubank Blvd NE
Ste 300
Albuquerque, NM 87111
Phone (210) 630-8376

1549 Stephanie Rd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 200-9158

3188 Southern Blvd SE
Ste B1
Rio Rancho, NM 87124
Phone (505) 200-9158

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1033527015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 SOUTHERN BLVD SE",
            "address_2": "SUITE B1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241990",
            "telephone_number": "505-200-9158",
            "fax_number": "505-200-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 SOUTHERN BLVD SE",
            "address_2": "SUITE B1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241990",
            "telephone_number": "505-200-9158",
            "fax_number": "505-200-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBEN R. GINGERY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "GINGERY",
        "authorized_official_first_name": "ROBBEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-200-9158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD LLC"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NM",
            "license": "91-207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.