DR. REYDOMINIQUE LUCERO GUMBOC MD
NPI 1710990403
Surgery - Surgery of the Hand in Honolulu, HI
About Dr. Reydominique Lucero Gumboc Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REYDOMINIQUE LUCERO GUMBOC MD (NPI 1710990403) is an individual surgery of the hand provider in Honolulu, Hawaii, licensed in Oregon (MD190882) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2005).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Dr. Reydominique Lucero Gumboc 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 Reydominique Gumboc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97317
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1184786527 (Washington)
- 3,207 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Salem Hospital
Acute Care Hospitals · Salem, OROther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Reydominique Gumboc's NPI number?
The NPI number for Reydominique Gumboc is 1710990403. It was assigned to this individual provider in the NPPES registry on August 14, 2006.
Where is Reydominique Gumboc located?
Reydominique Gumboc practices at 1 Jarrett White Rd Tripler Amc, Dept Of Orthopaedic Surgery, Honolulu, HI 96589. The listed phone number is (808) 433-3557.
What is Reydominique Gumboc's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.
Is Reydominique Gumboc enrolled in Medicare?
Yes. Reydominique Gumboc 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 Reydominique Gumboc's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reydominique Gumboc reassigns Medicare benefits to South Salem Rehabilitation, LLC (Salem, OR). 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 Reydominique Gumboc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Reydominique Gumboc accept?
Health plans from Kaiser Permanente list Reydominique Gumboc 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.
Is Reydominique Gumboc affiliated with any hospitals?
According to CMS data, Reydominique Gumboc is affiliated with Salem Hospital.
When was this NPI record last updated?
The NPPES record for Reydominique Gumboc was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Reydominique Lucero Gumboc, MD · NPI 1710990403
Surgery of the Hand physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1710990403 (Entity type: Individual)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Surgery - Surgery of the Hand · taxonomy 2086S0105X
- **State license:** MD190882 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 JARRETT WHITE RD, TRIPLER AMC, DEPT OF ORTHOPAEDIC SURGERY, Honolulu, HI 96589
- **Phone:** (808) 433-3557
## 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:** South Salem Rehabilitation, LLC (NPI 1215071998, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 2005
## Record status
- **NPPES last updated:** February 4, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1710990403) · Data from the CMS NPPES public registry.