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HEIDI GAMBOA D.O.
NPI 1285996322
Pediatrics - Pediatric Gastroenterology in Miami, FL

Active since June 14, 2012PECOS Enrolled
3100 SW 62ND AVE, MIAMI, FL 33155(305) 666-6511 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2019, Apr 3, 2019, Mar 19, 2019 and 2 more (5 updates tracked since 2016).

About Heidi Gamboa D.o. NPPES

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

HEIDI GAMBOA D.O. (NPI 1285996322) is an individual pediatric gastroenterology provider in Miami, Florida, licensed in Florida (OS15951) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285996322
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameHEIDI GAMBOACredential: D.O.
Location Address3100 SW 62ND AVEMiami, FL 33155
Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (305) 666-6511
Phone(305) 666-6511
Sole ProprietorNo
Enumeration DateJune 14, 2012
Last NPPES UpdateMay 20, 20195 updates tracked since enumeration
✔ NPI 1285996322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in FL · OS15951✔ Licensed in WI · 70100
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License C7-0005845 (DE)
3100 SW 62ND AVE, Miami, FL 33155
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11600 Rockland RdWilmington, DE 19803-3607 · Phone (302) 660-1584
Location 29000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-2000

Other Identifiers 1

Medicaid1285996322WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi Gamboa D.o. 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 Heidi Gamboa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Medical College Of Wisconsin, Inc.
1,270 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PATRICE NEIL PA-C
Physician Assistant (Medical)
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 666-6511
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Pediatrics (Pediatric Cardiology)
3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
MIAMI, FL 33155
Miami-Dade County (786) 624-5876
LUCILA SERVITJE AZCARRAGA MD
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
DR. YELENA SLOBODSCOY IGNATOV BSC, MD
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
SIVANESAN SIVAGNANA GANESAN
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (786) 624-2855
HIMANSHU MEENA
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
DR. TERESITA FOX M.D.
Pediatrics
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (561) 624-9188
MRS. ERIN HERNANDEZ CPNP
Nurse Practitioner (Pediatrics)
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 662-8357

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 Heidi Gamboa's NPI number?

The NPI number for Heidi Gamboa is 1285996322. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Heidi Gamboa located?

Heidi Gamboa practices at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (305) 666-6511.

What is Heidi Gamboa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Heidi Gamboa enrolled in Medicare?

Yes. Heidi Gamboa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi Gamboa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Gamboa reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Heidi Gamboa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Gamboa accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Heidi Gamboa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heidi Gamboa was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.