DR. MICAH GAMBOA PASCUAL MD
NPI 1154181303
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 21, 2024PECOS Enrolled
3600 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-7883 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Micah Gamboa Pascual Md NPPES

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

DR. MICAH GAMBOA PASCUAL MD (NPI 1154181303) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154181303
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MICAH GAMBOA PASCUALCredential: MD
Location Address3600 SPRUCE STPhiladelphia, PA 19104-4211
Mailing Address13123 E 16th AveAurora, CO 80045-7106
Sole ProprietorNo
Enumeration DateMarch 21, 2024
Last NPPES UpdateJune 24, 2025
NPPES CertifiedJune 24, 2025
NPI 1154181303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3600 SPRUCE ST, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Micah Gamboa Pascual Md 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.

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.

Dermatology
3600 SPRUCE ST, 2 MALONEY BLDG
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Internal Medicine
3600 SPRUCE ST, 839 WEST GATES
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104

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 Micah Pascual's NPI number?

The NPI number for Micah Pascual is 1154181303. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Micah Pascual located?

Micah Pascual practices at 3600 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-7883.

What is Micah Pascual's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Micah Pascual enrolled in Medicare?

Yes. Micah Pascual is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Micah Pascual was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.