Gabriel Matonba Peal, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

E1660 Issued in AR

Practice address

500 S University Ave Ste 720
Little Rock, AR 72205-5345

Phone

(501) 558-4900

Fax

(501) 558-4909

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750352373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 720",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055345",
            "telephone_number": "501-558-4900",
            "fax_number": "501-558-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 720",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055345",
            "telephone_number": "501-558-4900",
            "fax_number": "501-558-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAL",
        "first_name": "GABRIEL",
        "middle_name": "MATONBA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E1660",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AR",
            "license": "E1660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "485357",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "485340",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133831001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1609260157",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles W. Peace, CRNA
• Nga T Peace
• Brandon Peach, MHPP
• Loverd Michael Peacock, M.D.
• Patrick Pead, AU.D.
• Charles E Pearce Jr., MD
• Valerie Pearsall, M.ED.
• Cinnamon Pearson, PHARMD
• Diana Johnson Pearson, MCD-CCC SLP
• Gayle Pearson, CRNA

• Colon & Rectal Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Colon & Rectal Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.