Individual provider Active NPI

Michael K Gabbert, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1073528840
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E0924 Issued in TX
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

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00NJ64OtherTXBC BS PROVIDER NUMBER
00NJ64OtherTXTEXAS MEDICARE PROVIDER NUMBER
0351801-01MedicaidTX
P00067638OtherRAILROD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
E0924TXMDInternal 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

Sources for this page

Verify at the official NPI Registry.