Active NPI
Shari Rosenberg Gabriel, M.D.
- Pediatric Orthopaedic Surgery Physician
- Louisville, KY
National Provider Identifier
1033112354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 31883
- Practice address
- 6400 Dutchmans Pkwy
Ste 215
Louisville, KY 40205-3343 - Phone
- (502) 721-8288
- Fax
- (502) 721-8792
- NPI assigned
- May 31, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 31883 | KY | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 31883 | KY | Primary |
Addresses
Primary practice location
6400 Dutchmans Pkwy
Ste 215
Louisville, KY 40205-3343
Mailing address
6400 Dutchmans Pkwy
Ste 215
Louisville, KY 40205-3343
Phone (502) 721-8288
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000185962 | Other | KY | BLUE PREFERRED (ANTHEM) |
| 1129536 | Other | KY | PASSPORT |
| 64318835 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110209000941 | KY | Practitioner - Orthopedic Surgery | 5092846261 |
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": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1033112354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY",
"address_2": "STE 215",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053343",
"telephone_number": "502-721-8288",
"fax_number": "502-721-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY",
"address_2": "STE 215",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053343",
"telephone_number": "502-721-8288",
"fax_number": "502-721-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "SHARI",
"middle_name": "ROSENBERG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "31883",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "KY",
"license": "31883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE PREFERRED (ANTHEM)",
"identifier": "000000185962",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1129536",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64318835",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.