NPIMap

Individual provider Active NPI

Randy Lee Gubler, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1679587612
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
9804 Issued in NV
Practice address
3320 North Buffalo Drive
Suite 107
Las Vegas, NV 89129-7410
Phone
(702) 256-8454
Fax
(702) 256-0387
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 9804 NV Primary

Addresses

Primary practice location

3320 North Buffalo Drive
Suite 107
Las Vegas, NV 89129-7410

Mailing address

3320 North Buffalo Drive
Suite 107
Las Vegas, NV 89129-7410
Phone (702) 256-8454

Other identifiers 5

IdentifierTypeStateIssuer
1943324OtherNVUNITED HEALTH CARE
CC1573OtherNVBLUE CROSS/BLUE SHIELD
480029166OtherNVRAILROAD MEDICARE
7208106OtherNVAETNA
002102006MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000193 NV Practitioner - Podiatry 4284729864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Foot CareGroup PAC ID 7810082492, 4 clinicians

Practice addresses (Care Compare)

3320 N Buffalo Dr
Suite 107
Las Vegas, NV 89129-7410
Phone (702) 256-8454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue104
Removal of skin lesions1-10
Removal of nail tissue983
Removal or shaving of skin growth690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Foot Care Foot & Ankle Surgery CurrentSince Sep 30, 2007 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

653 N Town Center Dr
Ste 203
Las Vegas, NV 89144
Phone (702) 243-3668

3320 N Buffalo Dr
Ste 107
Las Vegas, NV 89129
Phone (702) 256-8454

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1679587612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 NORTH BUFFALO DRIVE",
            "address_2": "SUITE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297410",
            "telephone_number": "702-256-8454",
            "fax_number": "702-256-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 NORTH BUFFALO DRIVE",
            "address_2": "SUITE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297410",
            "telephone_number": "702-256-8454",
            "fax_number": "702-256-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBLER",
        "first_name": "RANDY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "9804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1943324",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "CC1573",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480029166",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7208106",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002102006",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.