Individual provider Active NPI

Christina T Gamboa, MD

  • Radiation Oncology Physician
  • Greeley, CO
National Provider Identifier
1144563370
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
M-14142 Issued in ID
Practice address
1801 16TH St
Greeley, CO 80631
Phone
(970) 810-3894
Fax
(970) 810-3897
NPI assigned
Apr 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X DR.0072108 CO
Radiation Oncology Physician 2085R0001X M-14142 ID Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631

Mailing address

1801 16TH St
Greeley, CO 80631
Phone (970) 810-3894

Other practice location 1

800 NE 10th St
Okcc L100
Oklahoma City, OK 73104-5418
Phone (405) 271-5641

Other practice location 2

2000 Boise Ave Ste A
Loveland, CO 80538-5006
Phone (970) 810-3894

Other practice location 3

1801 16th St
Greeley, CO 80631-5154
Phone (970) 810-3894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CO2 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
I20180801001761 ID Practitioner - Radiation Oncology 3971893322
I20231211000632 CO Practitioner - Radiation Oncology 3971893322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.9 of 100Reported as group
Quality
79.21
Promoting interoperability
99
Improvement activities
40
Cost
77.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Dec 6, 2023 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Dec 6, 2023 Accepting new patients
Ou Health Partners, Inc Past Accepting new patients
Medical Oncology Associates, PS Radiation Oncology PastSince Jul 1, 2018 Accepting new patients

Locations

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 Boise Ave
Ste A
Loveland, CO 80538
Phone (970) 810-3894

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1144563370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 NE 10th St",
            "address_2": "OKCC L100",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045418",
            "country_code": "US",
            "telephone_number": "405-271-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Boise Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805385006",
            "country_code": "US",
            "telephone_number": "970-810-3894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 16th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806315154",
            "country_code": "US",
            "telephone_number": "970-810-3894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "CHRISTINA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-06",
        "last_updated": "2025-02-21",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "DR.0072108",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ID",
            "license": "M-14142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.