Mahender Gaba, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

36851 Issued in AZ

Practice address

2020 Silver Creek Rd
Suite # 102 C
Bullhead City, AZ 86442-8476

Phone

(928) 704-5570

Fax

(928) 704-5572

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Interventional Radiology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Lodi Memorial Hospital Association IncGroup PAC ID 7618880717, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336
• St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
• Dameron Hospital Hospital, Stockton, CA, CCN 050122
• Adventist Health Lodi Memorial Inpatient rehabilitation facility, Lodi, CA, CCN 05T336

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgaba635099@hisp.ehr.sutterhealth.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/GBBICD

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.

• Lodi Memorial Hospital Association, Inc

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1861649352

  CA

  Medicare reassignment Care Compare group NPD
• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  CA

  Medicare reassignment Care Compare group NPD
• Lodi Memorial Hospital Association Inc

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  Care Compare group NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  Care Compare group NPD
• Lodi Memorial Hospital Association Inc

  • Community/Retail Pharmacy
  • Lodi, CA
  • NPI 1003846858
  Care Compare group
• Lodi Memorial Hospital Association Inc

  • Rural Health Clinic/Center
  • Galt, CA
  • NPI 1164431383
  Care Compare group
• Lodi Memorial Hospital Association Inc

  • Rehabilitation Hospital Unit
  • Lodi, CA
  • NPI 1821028671
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
  • NPI 1063887883
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Roseville, CA
  • NPI 1083949341
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Davis, CA
  • NPI 1174858435
  Care Compare group
• Sutter Valley Medical Foundation

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1174997407
  Care Compare group
• Sutter Valley Medical Foundation

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1205150356
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dameron Hospital Association

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1538163886

  Hospital

  Care Compare affiliation
• Dameron Hospital Association

  • Primary Care Clinic/Center
  • Stockton, CA
  • NPI 1699195115

  Hospital

  Care Compare affiliation
• Lodi Memorial Hospital Association Inc

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301

  Hospital

  Care Compare affiliation
• Lodi Memorial Hospital Association Inc

  • Rehabilitation Hospital Unit
  • Lodi, CA
  • NPI 1821028671

  Inpatient rehabilitation facility

  Care Compare affiliation
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1104896174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD",
            "address_2": "SUITE # 102 C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428476",
            "telephone_number": "928-704-5570",
            "fax_number": "928-704-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD",
            "address_2": "SUITE # 102 C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428476",
            "telephone_number": "928-704-5570",
            "fax_number": "928-704-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABA",
        "first_name": "MAHENDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "36851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim C. Ford, MSN,FNP-BC
• Jo Ann Forristal, RN, CFNP
• Barney Bailey Foster, PAC
• Irwin S. Fox, MD
• Frank Nelson, DDS, PC
• Genesis Health, LLC
• Genoa Healthcare LLC
• Teresa Gentry, APRN, C-NP, CWON
• Gerihealth LLC
• German Dobson CVS LLC

• All providers in Bullhead City, AZ
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.