Darin Gambles, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P153 Issued in ID

Practice address

1495 Parkway Dr
Ste B
Blackfoot, ID 83221-1638

Phone

(208) 785-2555

Fax

(208) 785-9952

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgambles262003@ahs.direct-ci.com
• Direct secure messaging: darin.gambles.1@17373.direct.athenahealth.com

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.

• Darin Gambles

  • Foot & Ankle Surgery Podiatrist
  • Blackfoot, ID
  • NPI 1558633628

  ID, Podiatrist

  Medicare reassignment NPD Authorized official
• Valley Foot & Ankle, PC

  • Podiatrist
  • Pocatello, ID
  • NPI 1669516738
  NPD (past)
• Valley Foot & Ankle, PC

  • Podiatrist
  • Pocatello, ID
  • NPI 1790864619
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1790768174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 PARKWAY DR",
            "address_2": "STE B",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211638",
            "telephone_number": "208-785-2555",
            "fax_number": "208-785-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 PARKWAY DR",
            "address_2": "STE B",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211638",
            "telephone_number": "208-785-2555",
            "fax_number": "208-785-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLES",
        "first_name": "DARIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800772179",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben Lazarus Fox, LMSW
• Rebecca Freeburne, LCSW
• Sarah Freeman
• Margaret Frei, COTA/L
• Gables Holdings LLC
• Liliana Garcia, BSN, RN
• Carisa A Gearhart, MS CCC-SLP
• Joshua William Gehrke, PHARM.D
• Thomas J Gelwix, MD
• Brett Montana Gessell

• All providers in Blackfoot, ID
• Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.