Individual provider Active NPI

Gabriel Vangompel, DPM

  • Podiatrist
  • Fremont, CA
National Provider Identifier
1497017040
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5067 Issued in CA
Practice address
39350 Civic Center Dr. #300
Fremont, CA 94538-2331
Phone
(510) 797-3933
Fax
(510) 797-5184
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5067 CA Primary
Foot Surgery Podiatrist 213ES0131X E5067 CA

Addresses

Primary practice location

39350 Civic Center Dr. #300
Fremont, CA 94538-2331

Mailing address

39350 Civic Center Dr. #300
Fremont, CA 94538-2331
Phone (510) 797-3933

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140802000048 CA Practitioner - Podiatry 9739305426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Peak Orthopaedic Medical Group IncGroup PAC ID 9739165705, 15 clinicians

Practice addresses (Care Compare)

39350 Civic Ctr Dr
Suite 300
Fremont, CA 94538-2331
Phone (510) 797-3933

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
87.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue28
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5067CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Peak Orthopaedic Medical Group, Inc Podiatrist CurrentSince Aug 1, 2014 Accepting new patients
Washington Township Hospital District Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients

Locations

39350 Civic Center Dr
Ste 300
Fremont, CA 94538
Phone (510) 797-3933

27206 Calaroga Ave
Ste 207
Hayward, CA 94545
Phone (510) 649-1573

27206 Calaroga Ave
Ste 107
Hayward, CA 94545
Phone (510) 300-9898

5924 Stoneridge Dr
Ste 200
Pleasanton, CA 94588
Phone (925) 846-6200

Interoperability endpoints

  • Direct secure messaging: gvangompel138555@hpmg.direct-ci.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1497017040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39350 CIVIC CENTER DR. #300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382331",
            "telephone_number": "510-797-3933",
            "fax_number": "570-797-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39350 CIVIC CENTER DR. #300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382331",
            "telephone_number": "510-797-3933",
            "fax_number": "510-797-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGOMPEL",
        "first_name": "GABRIEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5067",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E5067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.