Individual provider Active NPI

William T Gipson, M.D.

  • Internal Medicine Physician
  • Littleton, CO
National Provider Identifier
1023003316
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25406 Issued in CO
Practice address
1420 W Canal CT
Ste 100
Littleton, CO 80120-5656
Phone
(303) 791-7540
Fax
(303) 791-2241
NPI assigned
Sep 13, 2005
Last updated
Jan 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25406 CO Primary

Addresses

Primary practice location

1420 W Canal CT
Ste 100
Littleton, CO 80120-5656

Mailing address

1420 W Canal CT
Ste 100
Littleton, CO 80120-5656
Phone (303) 791-7540

Other identifiers 1

IdentifierTypeStateIssuer
01254069MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526001103 CO Practitioner - Internal Medicine 7012959281 Practice locations: Littleton, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25406COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Ekg Interpretation Group Internal Medicine Past Accepting new patients
Amy Eeman Ghaibeh MD LLC Internal Medicine PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1023003316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT",
            "address_2": "STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205656",
            "telephone_number": "303-791-7540",
            "fax_number": "303-791-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT",
            "address_2": "STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205656",
            "telephone_number": "303-791-7540",
            "fax_number": "303-791-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "25406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01254069",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.