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Ivan Gamboa in Baton Rouge, Louisiana

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Ivan Gamboa has Endocrinology as his primary medical specialty. Their primary office is: 5428 Odonovan Dr B in Baton Rouge, Louisiana.

They're a part of the: Our Lady Of The Lake Physician Group Llc medical group which has around 523 members. You can call their office at 225-490-6309 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 2008 (around 16 years of experience). They are listed as doing telehealth appointments.


Ivan J Gamboa Office Phone and Directions

Ivan Gamboa
Our Lady Of The Lake Physician Group Llc
5428 Odonovan Dr B
Baton Rouge, Louisiana 70808
225-490-6309


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Phone: 225-490-6309


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Healthcare Info for Ivan Gamboa

Medical School: Sorry, his university is not listed
Graduation Year: 2008
The Primary Medical Specialty for Ivan Gamboa is listed as: Endocrinology
Approximate Years of Experience: 16
PAC (PECOS ID)#: 5193012979
NPI #: 1366739468
NPI Created On: 07/09/2011
NPI Last Updated Listed as: 06/30/2022
Primary Taxonomy Code: 207R00000X
License Number:
125059415
Listed Gender: Male

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Vantage Health Plan, Inc.
  • Humana
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: ENGLISH, English, Spanish.


Services and Procedures include:

  1. Ultrasound of head and neck
  2. Hemoglobin a1c level
  3. Vaccine for influenza for injection into muscle
  4. New patient office or other outpatient visit, typically 45 minutes
  5. Established patient office or other outpatient visit, typically 15 minutes
  6. Established patient office or other outpatient, visit typically 25 minutes
  7. Physician telephone patient service, 11-20 minutes of medical discussion
  8. Administration of influenza virus vaccine

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $19

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 792505951

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Endocrinology

Name of Drug #1: Tirosint

Open Associated Drug #1: 71858-0010-4


Payments Total: $16

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 792505953

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Endocrinology

Name of Drug #1: Tirosint

Open Associated Drug #1: 71858-0010-4


Payments Total: $26

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794540749

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: IMMUNOLOGY

Name of Drug #1: SYNTHROID

Open Associated Drug #1: 0074-5182-90


Payments Total: $18

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794540753

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: IMMUNOLOGY

Name of Drug #1: SYNTHROID

Open Associated Drug #1: 0074-5182-90

Drug or Biological: Drug

Product Category #2: GASTROENTEROLOGY

Name Of Drug #2:: LINZESS

Associated Drug #2: 0456-1201-30


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794540759

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: IMMUNOLOGY

Name of Drug #1: SYNTHROID

Open Associated Drug #1: 0074-5182-90

Drug or Biological: Drug

Product Category #2: GASTROENTEROLOGY

Name Of Drug #2:: LINZESS

Associated Drug #2: 0456-1201-30


Payments Total: $18

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 805472699

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular

Name of Drug #1: Livalo

Open Associated Drug #1: 66869-404-07


Payments Total: $19

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 805472705

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular

Name of Drug #1: Livalo

Open Associated Drug #1: 66869-404-07


Payments Total: $17

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 805472709

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular

Name of Drug #1: Livalo

Open Associated Drug #1: 66869-404-07


Payments Total: $2

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 818552313

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: SYNJARDY

Open Associated Drug #1: 0597-0159-18

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: TRULICITY

Associated Drug #2: 0002-1433-80

Drug or Biological #3:: Drug

Product Category #3: Diabetes

Name of Drug: JARDIANCE

Name Of Drug #3: 0597-0152-37


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 818552315

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: SYNJARDY

Open Associated Drug #1: 0597-0159-18

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: TRULICITY

Associated Drug #2: 0002-1433-80

Drug or Biological #3:: Drug

Product Category #3: Diabetes

Name of Drug: JARDIANCE

Name Of Drug #3: 0597-0152-37


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Providers in Our Lady Of The Lake Physician Group Llc

1.Cayla Abad

5000 Hennessy Blvd
Baton Rouge La 70808-4375
Our Lady Of The Lake Physician Group Llc
Nurse Practitioner

2.Ellison Abad

8080 Margaret Ann Ave
Baton Rouge La 70809-3444
Our Lady Of The Lake Physician Group Llc
Nurse Practitioner

3.Kimberly Abbott Np

17609 Old Jefferson Hwy
Prairieville La 70769-3980
Our Lady Of The Lake Physician Group Llc
Nurse Practitioner

4.Mostafa Aboubakr

7777 Hennessy Blvd
Baton Rouge La 70808-4365
Our Lady Of The Lake Physician Group Llc
Critical Care (intensivists)

5.Niksad Abraham

2647 S Saint Elizabeth Blvd
Gonzales La 70737-5017
Our Lady Of The Lake Physician Group Llc
Interventional Cardiology

6.Shaun Abraham

5000 Hennessy Blvd
Baton Rouge La 70808-4375
Our Lady Of The Lake Physician Group Llc
Internal Medicine

View all 523 members of Our Lady Of The Lake Physician Group Llc medical group