EDDIE LEON GAINES M.D.
NPI 1942268156
Allergy & Immunology - Allergy in Anthem, AZ

Active since May 04, 2006PECOS Enrolled
42145 N FAIRGREEN CT, ANTHEM, AZ 85086(575) 405-7697 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eddie Leon Gaines M.d. NPPES

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

EDDIE LEON GAINES M.D. (NPI 1942268156) is an individual allergy provider in Anthem, Arizona, licensed in New Mexico (94250) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942268156
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameEDDIE LEON GAINESCredential: M.D.
Location Address42145 N FAIRGREEN CTAnthem, AZ 85086-1066
Mailing Address3800 E Lohman AveLas Cruces, NM 88011-8273 · (575) 522-6500 · Fax (575) 522-0591
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 27, 2019
NPI 1942268156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in NM · 94250
Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

Also ListedGeneral PracticeTaxonomy 208D00000X · License 94250 (NM)
42145 N FAIRGREEN CT, Anthem, AZ 85086

Other Identifiers 1

Medicaid26189NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eddie Leon Gaines M.d. 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.

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 Eddie Gaines's NPI number?

The NPI number for Eddie Gaines is 1942268156. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Eddie Gaines located?

Eddie Gaines practices at 42145 N Fairgreen Ct, Anthem, AZ 85086. The listed phone number is (575) 405-7697.

What is Eddie Gaines's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Eddie Gaines enrolled in Medicare?

Yes. Eddie Gaines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eddie Gaines was last updated on March 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.