Active NPI
Danielle B. Gibbs, M.D.
- Pediatrics Physician
- Springfield, MA
National Provider Identifier
1023425691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 278091
- Practice address
- 140 High St
Springfield, MA 01105 - Phone
- (413) 794-2515
- Fax
- (413) 794-5673
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 278091 | MA | Primary |
Addresses
Primary practice location
140 High St
Springfield, MA 01105
Mailing address
280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700
Other practice location 1
20 York Street
YNHH Pediatric Infectious Diseases
New Haven, CT 06510-3220
Phone (203) 688-4242
Other practice location 2
759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-3233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190726001453 | MA | Practitioner - Pediatric Medicine | 3971720806 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1023425691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST FL 2",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HIGH ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01105",
"telephone_number": "413-794-2515",
"fax_number": "413-794-5673"
}
],
"practiceLocations": [
{
"address_1": "20 York Street",
"address_2": "YNHH Pediatric Infectious Diseases",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-4242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "759 Chestnut St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011071619",
"country_code": "US",
"telephone_number": "413-794-3233",
"fax_number": "413-794-9060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBS",
"first_name": "DANIELLE",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "278091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.