DR. JOHN ELLIS GOBBLE (DRPH, RD, LD) – Registered Dietitian, NPI 1013919323

DR. JOHN ELLIS GOBBLE (DRPH, RD, LD) is a healthcare provider. based in Clackamas, Oregon. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials DRPH, RD, LD. They hold a License No. 000543 (OR). The NPI Number for DR. JOHN ELLIS GOBBLE (DRPH, RD, LD) is 1013919323

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ELLIS GOBBLE (DRPH, RD, LD)
NPI
1013919323
Phone
(503) 652-5070
Address
8800 SE SUNNYSIDE RD
Enumeration Date
1 June 2005
Last Update Date
27 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
50365250701
Graduation Year
1983 (43 years ago)
PAC ID
2769577618
Group Practice PAC ID
4587759436
Professional Enrollment ID
I20110331000071
Address ID
OR972222244MI6542XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:21State licenses:1Digital endpointsOther names

154 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OR

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Provider Addresses for DR. JOHN ELLIS GOBBLE (DRPH, RD, LD)

  • Metabolic Research Center, 8800, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    SUITE 215-S

    CLACKAMAS, OR 970155738

    Phone: (503) 652-5070

    Fax: (800) 957-1067

    Type: Location

  • 6542 SE LAKE RD STE 202C

    MILWAUKIE, OR 972222244

    Phone: (503) 652-5070

    Fax: (800) 957-1067

    Type: Location

  • 1463, Southwest 20th Court, Gresham, Metro, Multnomah County, Oregon, 97080, United States

    GRESHAM, OR 970809662

    Phone: (503) 652-5070

    Fax: (503) 652-5080

    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: 2018-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110331000071IRegistered Dietitian Or Nutrition ProfessionalORTBD
I20180530001876IRegistered Dietitian Or Nutrition ProfessionalWATBD

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 97015)

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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: 4587759436View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalOR
Registered Dietitian Or Nutrition ProfessionalOR

Reviews

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Frequently asked questions

What is DR. JOHN ELLIS GOBBLE (DRPH, RD, LD)'s NPI number?
DR. JOHN ELLIS GOBBLE (DRPH, RD, LD)'s NPI is 1013919323 — the number used across U.S. healthcare to identify this provider.
Is DR. JOHN ELLIS GOBBLE (DRPH, RD, LD) still an active registrant?
DR. JOHN ELLIS GOBBLE (DRPH, RD, LD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JOHN ELLIS GOBBLE (DRPH, RD, LD)?
At a glance, DR. JOHN ELLIS GOBBLE (DRPH, RD, LD) is tied to Registered Dietitian. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JOHN ELLIS GOBBLE (DRPH, RD, LD)?
Travel planning: use Clackamas, Oregon as the reference point for DR. JOHN ELLIS GOBBLE (DRPH, RD, LD), then confirm.
Can I trust this NPI listing for DR. JOHN ELLIS GOBBLE (DRPH, RD, LD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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