DR. GIDDEL G A THOM MD
NPI 1700078375
Pediatrics - Pediatric Hematology-Oncology in Portales, NM

Q: 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.

Q: What is Giddel Thom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Giddel Thom was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

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: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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 pediatric hematology-oncology 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 Taxonomy2080P0207X

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 UpdateMay 7, 2018

✔ NPI 1700078375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in NM · MD2009-0687✔ Licensed in FL · ME978766

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

1515 W FIR ST, Portales, NM 88130

Open in Google Maps ↗

Other Identifiers 2

OtherME98766FL · Medical Licence

Medicaid73252875NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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. 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.

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