Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROBERTO REBLE BAMBA JR. M.D.
NPI 1497940175
Pediatrics in Farmington, NM

Q: What is Roberto Bamba's NPI number?

The NPI number for Roberto Bamba is 1497940175. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Q: What is Roberto Bamba's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Roberto Bamba was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since September 06, 2007PECOS Enrolled

407 S SCHWARTZ AVE STE 102, FARMINGTON, NM 87401(505) 609-6700(505) 609-6701 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, May 28, 2026, Mar 11, 2026 and 2 more (5 updates tracked since 2020).

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About Dr. Roberto Reble Bamba Jr. M.d. NPPES

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

DR. ROBERTO REBLE BAMBA JR. M.D. (NPI 1497940175) is an individual pediatrics provider in Farmington, New Mexico, licensed in New Mexico (MD2010-0169) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1497940175

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. ROBERTO REBLE BAMBA JR.Credential: M.D.

Location Address407 S SCHWARTZ AVE STE 102Farmington, NM 87401-5925

Mailing Address311 N Sunny Cove PlTucson, AZ 85748-0038 · (505) 486-0176 · Fax (520) 523-6390

Phone(505) 609-6700

Fax(505) 609-6701

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateSeptember 6, 2007

Last NPPES UpdateJuly 29, 20265 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1497940175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NM · MD2010-0169✔ Licensed in MN · 81746

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 78630 (AZ)

407 S SCHWARTZ AVE STE 102, Farmington, NM 87401

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Secondary Practice Locations 3

Location 11300 Anne St NWBemidji, MN 56601-5103 · Phone (218) 333-5000

Location 25904 Holly Ave NEAlbuquerque, NM 87113-2472 · Phone (505) 298-2505 · Fax (505) 298-2985

Location 37490 S Camino De OesteTucson, AZ 85746-9308 · Phone (520) 670-3909 · Fax (529) 309-2560

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. Roberto Reble Bamba Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325519218

PECOS Enrollment IDI20260602000187

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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 10

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

ERIN TINKER NP

Nurse Practitioner (Pediatrics)