Active NPI
Gayle A Roberts, MD
- Hematology & Oncology Physician
- Scottsdale, AZ
National Provider Identifier
1689648305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- C53213
- Practice address
- 8759 E Bell Rd
Scottsdale, AZ 85260-1340 - Phone
- (480) 795-6722
- Fax
- (602) 569-4244
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 04-34644 | KS | |
| Hematology & Oncology Physician | 207RH0003X | 22152 | AZ | |
| Hematology & Oncology Physician | 207RH0003X | 14507 | KY | |
| Hematology & Oncology Physician | 207RH0003X | MD28240 | OR | |
| Hematology & Oncology Physician | 207RH0003X | 5506 | AL | |
| Hematology & Oncology Physician | 207RH0003X | 18329 | OK | |
| Hematology & Oncology Physician | 207RH0003X | C53213 | CA | Primary |
Addresses
Primary practice location
8759 E Bell Rd
Scottsdale, AZ 85260-1340
Mailing address
2710 Dolbeer St
Eureka, CA 95501-4736
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156238 | Medicaid | AL | |
| 157877 | Other | AZ | AHCCCS |
| 1689648305 | Other | AZ | DOB: 01/25/1938 |
| 830008239 | Other | AZ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 18, 2022 through Oct 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14507 | KY | MD | Hematology & Oncology Physician |
| MD28240 | OR | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Oncology Associates PC | Hematology & Oncology | Past | Accepting new patients |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Post-Acute Physicians of Tennessee PLLC | Past | Accepting new patients | |
| Lander Valley Physician Practices, LLC | Past | Accepting new patients | |
| Firstcare Medical Foundation | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
-
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
-
- Psychiatry Physician
- Lander, WY
- NPI 1215971510
-
- Physical Medicine & Rehabilitation Physician
- Nashville, TN
- NPI 1134672314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1689648305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 DOLBEER ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8759 E BELL RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601340",
"telephone_number": "480-795-6722",
"fax_number": "602-569-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "GAYLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KS",
"license": "04-34644",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AZ",
"license": "22152",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "14507",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OR",
"license": "MD28240",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AL",
"license": "5506",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OK",
"license": "18329",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "C53213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156238",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "157877",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOB: 01/25/1938",
"identifier": "1689648305",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830008239",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.