Active NPI
Ajay Gohil, MD
- Pediatric Gastroenterology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- MD2022-0043
- Practice address
- 201 Cedar St SE Ste 4660
Albuquerque, NM 87106-4924 - Phone
- (505) 563-6530
- NPI assigned
- Nov 16, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | ME 101913 | FL | |
| Pediatric Gastroenterology Physician | 2080P0206X | 01036719A | IN | |
| Pediatric Gastroenterology Physician | 2080P0206X | MD2022-0043 | NM | Primary |
Addresses
Primary practice location
201 Cedar St SE Ste 4660
Albuquerque, NM 87106-4924
Mailing address
PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015979100 | Medicaid | FL | |
| 100110370A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 101913 | FL | MD | Pediatric Gastroenterology Physician |
| 01036719A | IN | MD | Pediatric Gastroenterology Physician |
| MD2022-0043 | NM | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Pediatric Gastroenterology Inc | Pediatric Gastroenterology | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
4500 Business Park Blvd
Ste C10
Anchorage, AK 99503
Phone (907) 770-2880
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
201 Cedar St SE
Ste 4660
Albuquerque, NM 87106
Phone (505) 563-6530
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Pediatric Gastroenterology Physician
- Anchorage, AK
- NPI 1245771252
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1780757906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE STE 4660",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064924",
"telephone_number": "505-563-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOHIL",
"first_name": "AJAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME 101913",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "IN",
"license": "01036719A",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NM",
"license": "MD2022-0043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015979100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100110370A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.