Individual provider Active NPI

William Charles Gambla, MD

  • Student in an Organized Health Care Education/Training Program
  • Birmingham, AL
National Provider Identifier
1104489434
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
700 18TH St S Ste 601
Birmingham, AL 35233-3800
Phone
(205) 996-8660
NPI assigned
Apr 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.46435 AL
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

700 18TH St S Ste 601
Birmingham, AL 35233-3800

Mailing address

700 18TH St S Ste 601
Birmingham, AL 35233-3800
Phone (205) 996-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230822000974 AL Practitioner - Ophthalmology 6608109525 Reassigns benefits to 2 organizations
I20241121001163 HI Practitioner - Ophthalmology 6608109525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2000

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.85
Promoting interoperability
98
Improvement activities
40
Cost
70.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.46435ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Ophthalmology Services Foundation Ophthalmology CurrentSince Jul 11, 2023 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Nov 4, 2024 Accepting new patients
Uab Callahan Eye Hospital Authority Current Accepting new patients
Uab Callahan Eye Hospital Authority Ophthalmology CurrentSince Jul 11, 2023 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

1720 University Blvd
Ste 305
Birmingham, AL 35233
Phone (205) 325-8100

700 18th St S
Ste 601
Birmingham, AL 35233
Phone (205) 325-8507

1720 University Blvd
Birmingham, AL 35233
Phone (205) 325-8387

1010 Pensacola St
Honolulu, HI 96814
Phone (808) 432-2000

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

Interoperability endpoints

  • Direct secure messaging: william.gambla.p1@direct.uabmc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1104489434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 18TH ST S STE 601",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333800",
            "telephone_number": "205-996-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 18TH ST S STE 601",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333800",
            "telephone_number": "205-996-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLA",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.46435",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.