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DR. IVAN J GAMBOA VELEZ MD
NPI 1366739468
Internal Medicine - Endocrinology, Diabetes & Metabolism in Baton Rouge, LA

Active since July 09, 2011PECOS EnrolledAccepts Medicare Assignment
5428 ODONOVAN DR STE C, BATON ROUGE, LA 70808(225) 300-1076(225) 300-1080 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Aug 26, 2016 (2 updates tracked since 2016).

About Dr. Ivan J Gamboa Velez Md NPPES

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

DR. IVAN J GAMBOA VELEZ MD (NPI 1366739468) is an individual endocrinology, diabetes & metabolism provider in Baton Rouge, Louisiana, licensed in Louisiana (301598) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366739468
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. IVAN J GAMBOA VELEZCredential: MD
Location Address5428 ODONOVAN DR STE CBaton Rouge, LA 70808-4387
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 300-1076 · Fax (225) 765-9196
Phone(225) 300-1076
Fax(225) 300-1080
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 9, 2011
Last NPPES UpdateJune 30, 20222 updates tracked since enumeration
NPPES CertifiedJune 30, 2022
✔ NPI 1366739468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in LA · 301598
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125059415 (IL)
5428 ODONOVAN DR STE C, Baton Rouge, LA 70808
Open in Google Maps ↗

Other Names 1

Professional Name (2)Ivan J Gamboa Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ivan J Gamboa Velez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193012979
PECOS Enrollment IDI20160921002524
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
163 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
120 services85 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
81 services57 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
49 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers37 claims123 services$6.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers19 claims31 services$1.00 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers28 claims28 services$312.27 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers221 claims223 services$184.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. LAUREN SCHOBER CUTRONE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5428 ODONOVAN DR STE C
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 300-1076
MRS. NICOLE CULBERT MILES FNP-BC
Nurse Practitioner (Family)
5428 ODONOVAN DR STE C
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 300-1076
DR. ROBIN ELIZABETH KILPATRICK M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5428 ODONOVAN DR STE C
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 300-1076
GOUTAMI MANGU MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5428 ODONOVAN DR STE C
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 300-1076

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 Ivan Gamboa Velez's NPI number?

The NPI number for Ivan Gamboa Velez is 1366739468. It was assigned to this individual provider in the NPPES registry on July 9, 2011. The provider is also known as Ivan J Gamboa MD.

Where is Ivan Gamboa Velez located?

Ivan Gamboa Velez practices at 5428 Odonovan Dr Ste C, Baton Rouge, LA 70808. The listed phone number is (225) 300-1076.

What is Ivan Gamboa Velez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ivan Gamboa Velez enrolled in Medicare?

Yes. Ivan Gamboa Velez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ivan Gamboa Velez accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Ivan Gamboa Velez 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.

Is Ivan Gamboa Velez affiliated with any hospitals?

According to CMS data, Ivan Gamboa Velez is affiliated with Our Lady Of The Lake Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ivan Gamboa Velez was last updated on June 30, 2022. 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.