EDWARD ROBLES MEDINA MD
NPI 1619910080
Anesthesiology in Gallup, NM
About Edward Robles Medina Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD ROBLES MEDINA MD (NPI 1619910080) is an individual anesthesiology provider in Gallup, New Mexico, licensed in New York (227427) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Edward Robles Medina 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.
Medicare Billing Reassignment
Medicare enrollment records show Edward Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tsaile, AZ 86556
- Reassigned Medicare billing, Texas enrollment
- 476 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GALLUP, NM 87301
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 Edward Medina's NPI number?
The NPI number for Edward Medina is 1619910080. It was assigned to this individual provider in the NPPES registry on June 14, 2006.
Where is Edward Medina located?
Edward Medina practices at 516 E. Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.
What is Edward Medina's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Edward Medina enrolled in Medicare?
Yes. Edward Medina 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 organization bills Medicare for Edward Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Medina reassigns Medicare benefits to Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ). 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 Edward Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edward Medina was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Edward Robles Medina, MD · NPI 1619910080
Anesthesiology physician in Gallup, New Mexico. Individual provider, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1619910080 (Entity type: Individual)
- **Enumerated:** June 14, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 227427 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 E. NIZHONI BLVD, Gallup, NM 87301-1337
- **Phone:** (505) 722-1000 · **Fax:** (505) 722-1421
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (NPI 1538185715, Tsaile, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** April 11, 2008
- **Other identifiers:** Medicaid 01221787 (NM); Medicaid 759128 (AZ); Medicare UPIN H79946; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1619910080) · Data from the CMS NPPES public registry.