Matthew Ian Gembala, M.D., M.P.H.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

35737 Issued in AZ

Practice address

2201 N Vickey St Ste 110
Flagstaff, AZ 86004-6126

Phone

(928) 213-9460

Fax

(928) 213-9465

NPI assigned

Jul 10, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

NephrologyAlso: Internal Medicine

Education

University of Arizona College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• 032558 Bullhead City Dialysis (FMC) Dialysis facility, Bullhead City, AZ, CCN 032558
• 032536 Winslow Dialysis Center (FMC) Dialysis facility, Winslow, AZ, CCN 032536
• Usrc Flagstaff Dialysis facility, Flagstaff, AZ, CCN 032636
• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
• Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Merit-based Incentive Payment System (MIPS)

Final score

88.2 of 100Reported as group

Quality

67.68

Promoting interoperability

100

Improvement activities

40

Cost

76.33

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 82)

Interoperability endpoints

• Direct secure messaging: matthew.gembala.1@11625.direct.athenahealth.com

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.

• Akdhc, LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1316902208
  Medicare reassignment Care Compare group NPD
• Akdhc Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1346469731

  Nephrology

  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1073840922
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Prescott, AZ
  • NPI 1720269053
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1205274735
  NPD (past)
• Forkela, LLC

  • Allergy Physician
  • Flagstaff, AZ
  • NPI 1487274791
  NPD (past)

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

• Bio-Medical Applications of Arizona, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bullhead City, AZ
  • NPI 1669584462

  Dialysis facility

  Care Compare affiliation Name & address match
• LDFS LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Flagstaff, AZ
  • NPI 1790074516

  Dialysis facility

  Care Compare affiliation Name & address match
• Bullhead City Hospital Corporation

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• Flagstaff Medical Center

  • Air Ambulance
  • Flagstaff, AZ
  • NPI 1427234111

  Hospital

  Care Compare affiliation
• Flagstaff Medical Center

  • Land Ambulance
  • Flagstaff, AZ
  • NPI 1518143205

  Hospital

  Care Compare affiliation
• Flagstaff Medical Center

  • Psychiatric Hospital Unit
  • Flagstaff, AZ
  • NPI 1649370875
  Care Compare affiliation
• Flagstaff Medical Center

  • General Acute Care Hospital
  • Flagstaff, AZ
  • NPI 1780635078
  Care Compare affiliation
• Havasu Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation
• PHC-Fort Mohave Inc

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1114950185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE",
            "address_2": "STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N VICKEY ST STE 110",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046126",
            "telephone_number": "928-213-9460",
            "fax_number": "928-213-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMBALA",
        "first_name": "MATTHEW",
        "middle_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "35737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114950185-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Charles Gaylord, DDS
• Addison Geiger
• J Wynne Geikenjoyner, PT, DPT, MS
• Allan Geiman
• Randee Renee Gelatic, PHARMD.
• Genoa Healthcare LLC
• German Dobson CVS LLC
• Michael Edward Gerner, PH.D.
• Burton Gershater, M.A.
• Colleen Gest, P.T.

• Nephrology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.