Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ivan J Gamboa Velez, MD

Individual provider Internal Medicine Physician · NPI 1366739468

Dr. Ivan J Gamboa Velez, MD is an Endocrinology in Baton Rouge, Louisiana. Qualified in 2008, 18 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Louisiana.

Years since qualifying
18
Licensed in
IL, LA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5428 Odonovan Dr Ste C
Baton Rouge, LA 70808-4387
Phone: (225) 300-1076
Fax: (225) 300-1080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 301598 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125059415 (IL)

Record details

NPI number1366739468
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2011
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Baton Rouge