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DR. GIDDEL G A THOM MD
NPI 1700078375
Pediatrics in Portales, NM

Active since August 16, 2007PECOS Enrolled
1515 W FIR ST, PORTALES, NM 88130(575) 356-6695(575) 356-5948 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, May 7, 2018 (2 updates tracked since 2018).

About Dr. Giddel G A Thom Md NPPES

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

DR. GIDDEL G A THOM MD (NPI 1700078375) is an individual pediatrics provider in Portales, New Mexico, licensed in New Mexico (MD2009-0687) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700078375
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. GIDDEL G A THOMCredential: MD
Location Address1515 W FIR STPortales, NM 88130-5703
Mailing AddressPo Box 843Portales, NM 88130-0843 · (575) 356-6695 · Fax (575) 356-5948
Phone(575) 356-6695
Fax(575) 356-5948
Sole ProprietorNo
Enumeration DateAugust 16, 2007
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1700078375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · MD2009-0687
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 · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License ME978766 (FL), MD2009-0687 (NM)
1515 W FIR ST, Portales, NM 88130
Open in Google Maps ↗

Other Identifiers 2

Medicaid73252875NM
OtherME98766FL · Medical Licence

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Giddel G A Thom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Giddel Thom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Casa De Buena Salud Inc.
7.5 mi
Federally Qualified Health Center (FQHC)
1515 W FIR
Portales, NM 88130
  • Reassigned Medicare billing, New Mexico enrollment
  • 16 clinicians in this Medicare group
NPI 1972603165 (505) 356-6695

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 88130 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.

LEE LE DMD
Dentist
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
TERESA CLAIRE EVAN
Nurse Practitioner (Family)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
MRS. JOHANNA CHRISTINE PETTREY FNP-BC
Nurse Practitioner (Family)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
JONATHAN REDD
Nurse Practitioner (Family)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
MS. MICHELLE LYNN HAWKINS ANP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
LA CASA DE BUENA SALUD INC
Local Education Agency (LEA)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
GUADALUPE M KENNEDY CFNP
Nurse Practitioner
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
DR. BHARGAV CHOWDARY PALETI MD
Internal Medicine
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695

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 Giddel Thom's NPI number?

The NPI number for Giddel Thom is 1700078375. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Where is Giddel Thom located?

Giddel Thom practices at 1515 W Fir St, Portales, NM 88130. The listed phone number is (575) 356-6695.

What is Giddel Thom's specialty?

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

Is Giddel Thom enrolled in Medicare?

Yes. Giddel Thom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Giddel Thom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Giddel Thom reassigns Medicare benefits to La Casa De Buena Salud Inc. (Portales, NM). 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 Giddel Thom'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 Giddel Thom was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.