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

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: October 25, 2026.

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

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 (1998).

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 1998
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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 17490 S Camino De OesteTucson, AZ 85746-9308 · Phone (520) 670-3909 · Fax (529) 309-2560
Location 21300 Anne St NWBemidji, MN 56601-5103 · Phone (218) 333-5000
Location 35904 Holly Ave NEAlbuquerque, NM 87113-2472 · Phone (505) 298-2505 · Fax (505) 298-2985

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Oscar Health Plan, Inc. 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)

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, I20260618000105
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

3

Medicare enrollment records show Roberto Bamba reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Healthcare Services
129 mi
Rural
1010 SPRUCE ST
Espanola, NM 87532
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1154307593 (505) 753-7111
Gila River Health Care Corporation
317 mi
Critical Access
3042 W. QUEEN CREEK ROAD
Chandler, AZ 85286
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1437664182 (602) 528-1200
Sanford Health Of Northern Minnesota
991 mi
Rural Health
1656 CENTRAL ST W
Bagley, MN 56621
  • Reassigned Medicare billing, Minnesota enrollment
  • 607 clinicians in this Medicare group
NPI 1972875490 (218) 694-2384

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 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 9

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

ERIN TINKER NP
Nurse Practitioner (Pediatrics)
407 S SCHWARTZ AVE STE 102
FARMINGTON, NM 87401
San Juan County (505) 609-6700
KIMBERLY L CALDWELL
Nurse Practitioner (Family)
407 S SCHWARTZ AVE STE 102
FARMINGTON, NM 87401
San Juan County (505) 607-6700
DR. BRADLEY J. SCOGGINS D.O.
Pediatrics
407 S SCHWARTZ AVE STE 102
FARMINGTON, NM 87401
San Juan County (505) 609-9700
MEREDITH PHIPPS JUSTICE PNP
Pediatrics
407 S SCHWARTZ AVE STE 102
FARMINGTON, NM 87401
San Juan County (505) 609-6700
DR. DAVID JONATHAN HERNANDEZ MD
Pediatrics
407 S SCHWARTZ AVE STE 102
FARMINGTON, NM 87401
San Juan County (505) 609-6700
MS. VALENTINA ELIZABETH BURROLA MSW, LCSW
Social Worker (Clinical)
407 S SCHWARTZ AVE STE 102
FARMINGTON, NM 87401
San Juan County (505) 609-6700
KYLE ALEXANDER TORNI M.D.
Pediatrics
407 S SCHWARTZ AVE STE 102
FARMINGTON, NM 87401
San Juan County (505) 609-6700
DR. SHAWNA YOUNG M.D.
Pediatrics
407 S SCHWARTZ AVE STE 102
FARMINGTON, NM 87401
San Juan County (505) 609-6700

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 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.

Where is Roberto Bamba located?

Roberto Bamba practices at 407 S Schwartz Ave Ste 102, Farmington, NM 87401. The listed phone number is (505) 609-6700.

What is Roberto Bamba's specialty?

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

Is Roberto Bamba enrolled in Medicare?

Yes. Roberto Bamba is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roberto Bamba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Bamba reassigns Medicare benefits to 3 organizations: Presbyterian Healthcare Services (Espanola, NM), Gila River Health Care Corporation (Chandler, AZ) and Sanford Health Of Northern Minnesota (Bagley, MN). 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 Roberto Bamba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Bamba accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Oscar Health Plan, Inc., Sanford Health Plan and Security Health Plan and 1 other insurer list Roberto Bamba 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 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 3 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.