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ERNESTINA F GAMBRAH MD, MA
NPI 1710564646
Pediatrics in Owensboro, KY

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303(270) 417-4705(270) 417-4709 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2024, Jul 12, 2024, Mar 26, 2021 (3 updates tracked since 2021).

About Ernestina F Gambrah Md, Ma NPPES

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

ERNESTINA F GAMBRAH MD, MA (NPI 1710564646) is an individual pediatrics provider in Owensboro, Kentucky, licensed in Kentucky (59292) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2021).

NPPES Registry Identity

NPI1710564646
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameERNESTINA F GAMBRAHCredential: MD, MA
Location Address1201 PLEASANT VALLEY RDOwensboro, KY 42303-9811
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338
Phone(270) 417-4705
Fax(270) 417-4709
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1710564646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 59292
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.
1201 PLEASANT VALLEY RD, Owensboro, KY 42303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Ernestina F Gambrah Md, Ma 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.

PECOS PAC ID2365983525
PECOS Enrollment IDI20240916002726
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 Ernestina Gambrah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Owensboro Health Medical Group, Inc.
Same address
Cardiovascular Disease
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1053810036 (270) 417-7500

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 42303 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

MICHAEL SCOTT WRAY DO
Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 417-2000
TA-FU LIN DO
Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 417-5911
DR. DEBRA LYNNE BUNGER MD
Psychiatry & Neurology (Psychiatry)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 417-7732
SANDRA L FOOSHEE PA
Physician Assistant
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 417-5911
DAVID B. OLALEKAN MD
Internal Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 417-4700
HANNAH M YOUNG MD
Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 417-5911
OWENSBORO HEALTH MEDICAL GROUP, INC.
Internal Medicine (Cardiovascular Disease)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 417-7500
SHIRLENE ANN JOINES
Nurse Practitioner (Family)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 417-4700

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 Ernestina Gambrah's NPI number?

The NPI number for Ernestina Gambrah is 1710564646. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Ernestina Gambrah located?

Ernestina Gambrah practices at 1201 Pleasant Valley Rd, Owensboro, KY 42303. The listed phone number is (270) 417-4705.

What is Ernestina Gambrah's specialty?

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

Is Ernestina Gambrah enrolled in Medicare?

Yes. Ernestina Gambrah 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 Ernestina Gambrah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ernestina Gambrah reassigns Medicare benefits to Owensboro Health Medical Group, Inc. (Owensboro, KY). 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 Ernestina Gambrah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ernestina Gambrah accept?

Health plans from Anthem Blue Cross and Blue Shield list Ernestina Gambrah 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 Ernestina Gambrah was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.