Individual provider Active NPI

Gayle A Roberts, MD

  • Hematology & Oncology Physician
  • Scottsdale, AZ
National Provider Identifier
1689648305
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C53213 Issued in CA
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

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
156238MedicaidAL
157877OtherAZAHCCCS
1689648305OtherAZDOB: 01/25/1938
830008239OtherAZRAILROAD 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
14507KYMDHematology & Oncology Physician
MD28240ORMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Oncology Associates PC Hematology & Oncology PastSince Dec 1, 2016 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 PastSince Sep 1, 2004 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.

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

Verify at the official NPI Registry.