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Individual provider Active NPI

Kirwin Gregory Gibbs, MD

  • Therapeutic Radiology Physician
  • Cortland, NY
National Provider Identifier
1043279748
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
206592-1 Issued in NY
Practice address
Cortland Memorial Hospital
153 Homer Ave
Cortland, NY 13045
Phone
(315) 782-2620
Fax
(315) 788-4980
NPI assigned
Mar 21, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 206592-1 NY Primary

Addresses

Primary practice location

Cortland Memorial Hospital
153 Homer Ave
Cortland, NY 13045

Mailing address

1116 Arsenal St
Suite 504
Watertown, NY 13601-2229
Phone (315) 782-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040116000851 NY Practitioner - Diagnostic Radiology 6800797366 Reassigns benefits to 7 organizations
I20090205000241 ME Practitioner - Diagnostic Radiology 6800797366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lawrence Radiology Assoc PCGroup PAC ID 2264421122, 25 clinicians
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Maritime Radiology Associates PCGroup PAC ID 2961566989, 8 clinicians
Olean Radiology, PCGroup PAC ID 9133118862, 16 clinicians

Practice addresses (Care Compare)

110 Crystal Run Rd
Middletown, NY 10941-4040
Phone (845) 673-6446

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

528 Prospect PL
Brooklyn, NY 11238-4205
Phone (718) 613-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206592-1NYMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Subspecialist of New York CurrentSince Apr 1, 2021 Accepting new patients
St Lawrence Radiology Assoc PC CurrentSince Mar 6, 2019 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Dec 13, 2023 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP CurrentSince Nov 1, 2012 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Mar 9, 2023 Accepting new patients
Olean Radiology, PC CurrentSince Feb 1, 2003 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Mar 9, 2023 Accepting new patients
Maritime Radiology Associates PC CurrentSince Dec 31, 2008 Accepting new patients
University Radiology Associates, LLP Past Accepting new patients
Brooklyn Hospital Radiology P C Past Accepting new patients
Crouse Radiology Associates LLP Past Accepting new patients
Medical Imaging Center LLP PastSince Jul 1, 2008 Accepting new patients
University Radiology at Buffalo, Inc. Past Accepting new patients
Mobile Diagnostic Testing Services Inc Past Accepting new patients

Locations

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757
Phone (631) 930-9422

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

110 Crystal Run Rd
Middletown, NY 10941
Phone (845) 673-6446

192 Tower Dr
Ste 500
Middletown, NY 10941

515 Main St
Olean, NY 14760
Phone (716) 373-2600

535 Main St
Olean, NY 14760
Phone (716) 372-0141

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

110 Business Park Dr
Utica, NY 13502
Phone (315) 507-5144

1020 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 444-6868

1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043279748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ARSENAL ST",
            "address_2": "SUITE 504",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012229",
            "telephone_number": "315-782-2620",
            "fax_number": "315-788-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORTLAND MEMORIAL HOSPITAL",
            "address_2": "153 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "13045",
            "telephone_number": "315-782-2620",
            "fax_number": "315-788-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KIRWIN",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "206592-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.