DR. FREGENET ZEKIEWOS GICHAMO (MD) – Diagnostic Radiology Physician, NPI 1265013072

DR. FREGENET ZEKIEWOS GICHAMO (MD) is a healthcare provider. based in Rancho mirage, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. A189915 (CA). The NPI Number for DR. FREGENET ZEKIEWOS GICHAMO (MD) is 1265013072

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREGENET ZEKIEWOS GICHAMO (MD)
NPI
1265013072
Phone
(760) 674-3850
Address
39000 Bob Hope Dr
Enumeration Date
14 April 2021
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7608378449
Graduation Year
2013 (13 years ago)
PAC ID
8628571056
Group Practice PAC ID
0749173789
Professional Enrollment ID
I20250911004089
Address ID
CA921041841SA4183XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

4,793 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for DR. FREGENET ZEKIEWOS GICHAMO (MD)

  • 39000 Bob Hope Dr

    Rancho Mirage, CA 922703221

    Phone: (760) 674-3850

    Type: Location

  • 200 W ARBOR DR # MC8756

    SAN DIEGO, CA 921031911

    Phone: (619) 543-3534

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250911004089IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92270)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749173789View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyNV
Diagnostic RadiologyNY
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic Radiology, Nuclear MedicineCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. FREGENET ZEKIEWOS GICHAMO (MD)?
DR. FREGENET ZEKIEWOS GICHAMO (MD) — NPI 1265013072 — is the standard way to identify this listing.
Does the file indicate DR. FREGENET ZEKIEWOS GICHAMO (MD) is practicing under active NPI?
Directory data currently reports DR. FREGENET ZEKIEWOS GICHAMO (MD) as active.
What is DR. FREGENET ZEKIEWOS GICHAMO (MD) best known for clinically?
Directory data describes DR. FREGENET ZEKIEWOS GICHAMO (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. FREGENET ZEKIEWOS GICHAMO (MD) based?
DR. FREGENET ZEKIEWOS GICHAMO (MD) is tied to Rancho Mirage, California in the data we show; additional addresses may exist on the full record.
Is the information about DR. FREGENET ZEKIEWOS GICHAMO (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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