DR. ERIC O GAMBOA (MD) – Hematology & Oncology Physician, NPI 1396938536

DR. ERIC O GAMBOA (MD) is a healthcare provider. based in Kennewick, Washington. specializing in INTERNAL MEDICINE, MEDICAL ONCOLOGY, HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD60194697 (WA). The NPI Number for DR. ERIC O GAMBOA (MD) is 1396938536

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC O GAMBOA (MD)
NPI
1396938536
Phone
(509) 783-0144
Address
7360 W. DESCHUTES AVE
Enumeration Date
21 August 2007
Last Update Date
19 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097830144
Graduation Year
2003 (23 years ago)
PAC ID
2961672639
Group Practice PAC ID
9739098617
Professional Enrollment ID
I20110907001376
Address ID
WA993367774KE7360XAVEX400

Contacts

Secure Messaging
egamboa1107290@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

4,056 INTERNAL MEDICINE in WA

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Provider Addresses for DR. ERIC O GAMBOA (MD)

  • West Deschutes Avenue, Kennewick, Benton County, Washington, 99301, United States

    KENNEWICK, WA 99336

    Phone: (509) 783-0144

    Fax: (509) 783-8244

    Mailing address matches the actual address.

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: 2011-09-07

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
I20110907001376IHematology/OncologyWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes711322$0
99215Established patient office or other outpatient visit, 40-54 minutes304170$0
36591Collection of blood sample from implanted device23165$0
99205New patient office or other outpatient visit, 60-74 minutes127127$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10645$0
View full utilization report →

Insurance plans in this area (ZIP 99336)

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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: 9739098617View full group profile
NameSpecialtyState
Medical Oncology, Hematology, Hematology/Oncology, Internal MedicineWA
-MO
Hospitalist, Internal MedicineWA
-WA
P O D I A T R YWA
Hematology/Oncology, Internal MedicineWA
Nurse PractitionerKS
Nurse PractitionerNC
Physician AssistantWA
Internal MedicineWA

Reviews

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Frequently asked questions

Is there an official ID for DR. ERIC O GAMBOA (MD) in U.S. healthcare records?
The official identifier for DR. ERIC O GAMBOA (MD) is NPI 1396938536.
Active or inactive — what applies to DR. ERIC O GAMBOA (MD)?
You should see DR. ERIC O GAMBOA (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. ERIC O GAMBOA (MD)?
At a glance, DR. ERIC O GAMBOA (MD) is tied to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ERIC O GAMBOA (MD)?
Directory geography for DR. ERIC O GAMBOA (MD) centers on Kennewick, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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