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DR. CECILIA TOLO GAMBALA M.D.
NPI 1386842490
Obstetrics & Gynecology - Maternal & Fetal Medicine in Metairie, LA

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
4720 S I 10 SERVICE RD W STE 302, METAIRIE, LA 70001(504) 988-8070(504) 988-8071 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Cecilia Tolo Gambala M.d. NPPES

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

DR. CECILIA TOLO GAMBALA M.D. (NPI 1386842490) is an individual maternal & fetal medicine provider in Metairie, Louisiana, licensed in Louisiana (MD.204933) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2003).

NPPES Registry Identity

NPI1386842490
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. CECILIA TOLO GAMBALACredential: M.D.
Location Address4720 S I 10 SERVICE RD W STE 302Metairie, LA 70001-1241
Mailing Address1430 Tulane AveNew Orleans, LA 70112-2632 · (504) 988-5216 · Fax (504) 988-1846
Phone(504) 988-8070
Fax(504) 988-8071
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2003
Enumeration DateJuly 10, 2007
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1386842490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in LA · MD.204933
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD.204933 (LA), 036.117815 (IL)
4720 S I 10 SERVICE RD W STE 302, Metairie, LA 70001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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 and accepts Medicare assignment

Dr. Cecilia Tolo Gambala M.d. 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 ID8628162260
PECOS Enrollment IDI20111006000506
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 Reassignments

2

Medicare enrollment records show Cecilia Gambala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Administrators Of The Tulane Education Fund
5.1 mi
Anatomic Pathology & Clinical Pathology
2000 CANAL ST
New Orleans, LA 70112
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: Administrators Of The Tulane Educational Fund
  • 851 clinicians in this Medicare group
NPI 1790354595 (504) 702-3000
Memorial Hospital At Gulfport
54 mi
Internal Medicine
835 THAMES AVE
Bay St Louis, MS 39520
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group
NPI 1518394089 (228) 466-4977

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 70001 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
Most-billed visit code 99213
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 2

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

MARGIE ANN KAHN MD
Obstetrics & Gynecology (Gynecology)
4720 S I 10 SERVICE RD W STE 302
METAIRIE, LA 70001
Jefferson Parish (504) 988-8070
DR. EDUARDO ANTONIO HERRERA-HUSBAND MD
Obstetrics & Gynecology
4720 S I 10 SERVICE RD W STE 302
METAIRIE, LA 70001
Jefferson Parish (504) 988-8070

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 Cecilia Gambala's NPI number?

The NPI number for Cecilia Gambala is 1386842490. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Cecilia Gambala located?

Cecilia Gambala practices at 4720 S I 10 Service Rd W Ste 302, Metairie, LA 70001. The listed phone number is (504) 988-8070.

What is Cecilia Gambala's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Cecilia Gambala enrolled in Medicare?

Yes. Cecilia Gambala 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.

Which organizations bill Medicare for Cecilia Gambala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecilia Gambala reassigns Medicare benefits to 2 organizations: Administrators Of The Tulane Education Fund (New Orleans, LA) and Memorial Hospital At Gulfport (Bay St Louis, MS). Each 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 Cecilia Gambala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cecilia Gambala accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Cecilia Gambala 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 Cecilia Gambala was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.