Active NPI
Michael K Gabbert, M.D.
- Internal Medicine Physician
- El Paso, TX
National Provider Identifier
1073528840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E0924
- Practice address
- 1700 Curie Dr Ste 5600
El Paso, TX 79902-2986 - Phone
- (915) 532-4413
- Fax
- (915) 532-3739
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E0924 | TX | Primary |
Addresses
Primary practice location
1700 Curie Dr Ste 5600
El Paso, TX 79902-2986
Mailing address
1700 Curie Dr Ste 5600
El Paso, TX 79902-2986
Phone (915) 532-4413
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00NJ64 | Other | TX | BC BS PROVIDER NUMBER |
| 00NJ64 | Other | TX | TEXAS MEDICARE PROVIDER NUMBER |
| 0351801-01 | Medicaid | TX | |
| P00067638 | Other | RAILROD MEDICARE PROV # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20110106001190 | TX | Practitioner - Internal Medicine | 1850580713 | Practice locations: El Paso, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0924 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1073528840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 CURIE DR STE 5600",
"city": "EL PASO",
"state": "TX",
"postal_code": "799022986",
"telephone_number": "915-532-4413",
"fax_number": "915-532-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CURIE DR STE 5600",
"city": "EL PASO",
"state": "TX",
"postal_code": "799022986",
"telephone_number": "915-532-4413",
"fax_number": "915-532-3739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABBERT",
"first_name": "MICHAEL",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E0924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PROVIDER NUMBER",
"identifier": "00NJ64",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICARE PROVIDER NUMBER",
"identifier": "00NJ64",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0351801-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROD MEDICARE PROV #",
"identifier": "P00067638",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- Floriza Fuson-Chandler, LMSW
- Heather Fyffe-Frausto, MS CCC-SLP
- G. G. Medical, Inc.
- G&T Southwest LLC (Mosquito Squad of El Paso/Las Cruces)
- Ga Hospice of El Paso, LLC (Guardian Angel Hospice of El Paso)
- Gabriela Hunko MD PLLC
- Gabriela M Baida MSN, RN LLC
- Blanca Leticia Gadney-Moss, MA LPC LMFT NCC
- Lucia S Gadney, LPC
- Emily Suzanne Gadra, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.