Individual provider Active NPI

Alexandra Gobble, MD (06/12/2020)

  • Vascular Surgery Physician
  • Columbus, OH
National Provider Identifier
1871115659
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD2025-0540 Issued in NM
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

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908004030 NM Practitioner - Vascular Surgery 0042635542 Reassigns benefits to 4 organizations

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
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

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

ProcedureNumber 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

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Single Specialty CurrentSince Aug 18, 2025 Accepting new patients
Presbyterian Healthcare Services Single Specialty CurrentSince Aug 18, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.