Active NPI
Alexandra Gobble, MD (06/12/2020)
- Vascular Surgery Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD2025-0540
- Practice address
- 410 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (307) 251-2299
- NPI assigned
- May 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD2025-0540 | NM | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
410 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
4033 W 39TH St
Casper, WY 82604-4409
Phone (307) 251-2299
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
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Washington School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Cedar St SE
Suite 800
Albuquerque, NM 87106-4912
Phone (505) 563-2500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Single Specialty | Current | Accepting new patients |
| Presbyterian Healthcare Services | Single Specialty | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Single Specialty | Past | Accepting new patients |
| Presbyterian Healthcare Services | Single Specialty | Past | Accepting new patients |
Locations
201 Cedar St SE
Ste 800
Albuquerque, NM 87106
Phone (505) 563-2500
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824
Interoperability endpoints
- agobble272588@direct.phs.org
Organizations & group practices 7
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
Single Specialty
-
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
-
- Critical Access Hospital
- Socorro, NM
- NPI 1790761138
-
- Critical Access Hospital
- Tucumcari, NM
- NPI 1962488304
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Single Specialty
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Single Specialty
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1730684853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1871115659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 W 39TH ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826044409",
"telephone_number": "307-251-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "307-251-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBBLE",
"first_name": "ALEXANDRA",
"credential": "MD (06/12/2020)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "NM",
"license": "MD2025-0540",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.