Individual provider Active NPI

Pinky Dalal Gaba, MD

  • Infectious Disease Physician
  • Bowling Green, KY
National Provider Identifier
1023220092
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
40072 Issued in KY
Practice address
427 US 31W Byp
Bowling Green, KY 42101-1703
Phone
(270) 796-8800
Fax
(270) 796-9328
NPI assigned
May 4, 2007
Last updated
Oct 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 40072 KY Primary

Addresses

Primary practice location

427 US 31W Byp
Bowling Green, KY 42101-1703

Mailing address

PO Box 90039
Bowling Green, KY 42102-9039
Phone (270) 796-8800

Other identifiers 2

IdentifierTypeStateIssuer
7100028070MedicaidKY
000000564405OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40072KYMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1023220092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90039",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029039",
            "telephone_number": "270-796-8800",
            "fax_number": "270-796-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011703",
            "telephone_number": "270-796-8800",
            "fax_number": "270-796-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABA",
        "first_name": "PINKY",
        "middle_name": "DALAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "40072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100028070",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000564405",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.