Kyle Clayton Gabioud

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2018-0051 Issued in NM

Practice address

2545 S Don Roser Dr
Las Cruces, NM 88011-9107

Phone

(575) 522-7880

Fax

(575) 522-7226

NPI assigned

Jul 9, 2018

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment NPD
• Three Crosses Regional Hospital LLC

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
  • NPI 1487248050
  Medicare reassignment NPD
• Southwest Emergency Medical Associates of NM PC

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1720505571
  Medicare reassignment
• Rio Grande Urology PA

  • Specialist
  • El Paso, TX
  • NPI 1750416921

  NM

  Medicare reassignment
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1144716507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119107",
            "telephone_number": "575-522-7880",
            "fax_number": "755-227-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119107",
            "telephone_number": "575-522-7880",
            "fax_number": "575-522-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABIOUD",
        "first_name": "KYLE",
        "middle_name": "CLAYTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2018-0051",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Funkhouser, M.D., PH.D
• Fyi Childrens Safehouse Cac
• G. Ann Remick-Barlow and Associates, LLC
• Destinee Renae Gabaldon
• Gene Alan Gabaldon, DDS
• Gabriel a Hernandez
• Dakota Gadbury
• Brian Gafford
• Marian Aylin Galaviz Arredondo, LSSA
• Michael Elias Galban

• Physician Assistant in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.