Gabriel Jose Arredondo Arriola, PA
Individual provider Active NPI Physician Assistant · Rogers, AR
NPI 1710657952 · NPPES record last updated Feb 10, 2026
Key facts
- NPI
- 1710657952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA18267 (TX)
- Practice address
- 2710 S Rife Medical LN
Rogers, AR 72758-1452 - Phone
- (479) 338-8000
- NPI assigned
- Sep 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ies ER Oklahoma LLC
Practice addresses (Care Compare)
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200
Hospital & facility affiliations
- Baylor University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.43 of 100
- Quality
- 93.73
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AR, TX, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211213002768 | AR | Practitioner - Physician Assistant | 1254721863 | Reassigns benefits to 2 organizations |
| I20241011002312 | TX | Practitioner - Physician Assistant | 1254721863 | Reassigns benefits to 4 organizations |
| I20251028002850 | OK | Practitioner - Physician Assistant | 1254721863 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5742 | OK | MD | Mental Health Counselor |
| PT2021-072 | AR | MD | Emergency Medicine Physician |
| PA-1023 | AR | MD | Physician Assistant |
| PA18267 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies ER Oklahoma LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1023 | AR | |
| Emergency Medicine Physician | 207P00000X | PT2021-072 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA18267 | TX | Yes |
Addresses
Primary practice location
2710 S Rife Medical LN
Rogers, AR 72758-1452
Mailing address
1322 Fifth Ave
Lowell, AR 72745-8077
Phone (479) 214-8247
Other providers in Rogers, AR
- Arkansas Transfer Service
- Forrest William Arnold
- Shea S Arnold
- Emily Ann Arnoult
- Arradda Transportation Ar LLC
- Cindy Arroyo
- Wade Arthur
- Asap Facilities, PLLC
- Elizabeth J Ashbaugh
- Ashley Health, LLC
All providers in Rogers, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.