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CHRISTOPHER JOHN GADOMSKI DO
NPI 1114992203
Pediatrics - Pediatric Emergency Medicine in Las Vegas, NV

Active since February 22, 2006PECOS Enrolled
888 S RANCHO DR, LAS VEGAS, NV 89106(702) 877-5114(702) 259-4634 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Christopher John Gadomski Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER JOHN GADOMSKI DO (NPI 1114992203) is an individual pediatric emergency medicine provider in Las Vegas, Nevada, licensed in Nevada (1230) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114992203
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameCHRISTOPHER JOHN GADOMSKICredential: DO
Location Address888 S RANCHO DRLas Vegas, NV 89106-3810
Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 240-8847 · Fax (702) 240-8790
Phone(702) 877-5114
Fax(702) 259-4634
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateNovember 29, 2021
✔ NPI 1114992203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NV · 1230
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
888 S RANCHO DR, Las Vegas, NV 89106
Open in Google Maps ↗

Other Identifiers 2

Medicaid100506760NV
Medicaid100506759NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher John Gadomski Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christopher Gadomski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
190 mi
Health Maintenance Organization
15272 SUMMIT AVE
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1982863783 (California)
  • 5,228 clinicians in this Medicare group
NPI 1316463763 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND MATHIESON PA-C
Physician Assistant
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
BRIAN CALLIER PA-C
Physician Assistant (Medical)
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
PHILLIP BRIAN WHITTENBERG PA C
Physician Assistant (Medical)
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-5199
CINDY ANN MILLER PA-C
Physician Assistant (Medical)
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-7600
BINNI KOTHARI
Physician Assistant
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
RICARDO CRUZ D.O.
Family Medicine
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
DR. HOLLIS M JULSON M.D.
Family Medicine
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-8600
KELLI BIGGANS PA-C
Physician Assistant
888 S RANCHO DR
LAS VEGAS, NV 89106
Clark County (702) 877-5199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Gadomski's NPI number?

The NPI number for Christopher Gadomski is 1114992203. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Christopher Gadomski located?

Christopher Gadomski practices at 888 S Rancho Dr, Las Vegas, NV 89106. The listed phone number is (702) 877-5114.

What is Christopher Gadomski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Christopher Gadomski enrolled in Medicare?

Yes. Christopher Gadomski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christopher Gadomski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Gadomski reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christopher Gadomski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christopher Gadomski was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.