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

Matar Goumbala, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1902343684

Matar Goumbala, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Rochester, Minnesota. Qualified in 2016, 10 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
10
Licensed in
MN, WI
In the registry since
2017
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 640 Jackson St, Saint Paul, MN 55101-2502 — (651) 254-3456
  • 700 West Avenue S, La Crosse, WI 54601-8806 — (608) 785-0940

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 13346 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 23067 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 242437-0 (MN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2041 (MN)

Record details

NPI number1902343684
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 19, 2017
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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