Robben Raines Gingery, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

91-207 Issued in NM

Practice address

3188 Southern Blvd SE
Suite B1
Rio Rancho, NM 87124-1990

Phone

(505) 200-9158

Fax

(505) 200-9497

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Geriatric PsychiatryAlso: Psychiatry

Education

University of Wisconsin School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Robben R Gingery MD LLC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgingery83285@ahs.direct-ci.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.

• Robben R. Gingery, MD, LLC

  • Geriatric Psychiatry Physician
  • Rio Rancho, NM
  • NPI 1033527015

  Geriatric Psychiatry, NM

  Medicare reassignment Care Compare group NPD Authorized official
• Haven Behavioral Services of Albuquerque, LLC

  • Psychiatric Hospital
  • Albuquerque, NM
  • NPI 1093079303
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1255422101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 SOUTHERN BLVD SE",
            "address_2": "SUITE B1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241990",
            "telephone_number": "505-200-9158",
            "fax_number": "505-200-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 SOUTHERN BLVD SE",
            "address_2": "SUITE B1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241990",
            "telephone_number": "505-200-9158",
            "fax_number": "505-200-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERY",
        "first_name": "ROBBEN",
        "middle_name": "RAINES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "91-207",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NM",
            "license": "91-207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E0179",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John B Gilbreth, D.D.S M.S.
• Ahmad Javed Gill, M.D.
• Rachel Gill
• Judith L. Gillum, R.N., C.N.P.
• Erin Gimar
• Nora Lee Glassman, RPH
• GLC DME
• Tabatha Glerup
• Charlene L Glover, MA, LPCC
• Isis Glover

• All providers in Rio Rancho, NM
• Geriatric Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.