DR. REYDOMINIQUE LUCERO GUMBOC MD
NPI 1710990403
Surgery - Surgery of the Hand in Honolulu, HI

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
1 JARRETT WHITE RD, TRIPLER AMC, DEPT OF ORTHOPAEDIC SURGERY, HONOLULU, HI 96589(808) 433-3557 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2022, Feb 4, 2021, Nov 26, 2018 (3 updates tracked since 2018).

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

NPI1710990403
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameDR. REYDOMINIQUE LUCERO GUMBOCCredential: MD
Location Address1 JARRETT WHITE RD, TRIPLER AMC, DEPT OF ORTHOPAEDIC SURGERYHonolulu, HI 96589
Mailing Address5125 Skyline Rd SSalem, OR 97306-9427
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2005
Enumeration DateAugust 14, 2006
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
NPI 1710990403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License Licensed in OR · MD190882
Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MDR4859 (HI)
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License DR.0061450 (CO)
1 JARRETT WHITE RD, Honolulu, HI 96589

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5193963940
PECOS Enrollment IDI20210120003055
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.

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, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

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.

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 with the weekly NPPES data releases published by CMS.