NPIMap

Individual provider Active NPI

Joshua Dale Gibson, MD

  • Diagnostic Radiology Physician
  • Huntington, WV
National Provider Identifier
1073712576
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25230 Issued in WV
Practice address
3448 US Route 60
Huntington, WV 25705-2906
Phone
(304) 522-1550
Fax
(304) 522-1073
NPI assigned
Jul 13, 2007
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.121086 OH
Diagnostic Radiology Physician 2085R0202X 25230 WV Primary

Addresses

Primary practice location

3448 US Route 60
Huntington, WV 25705-2906

Mailing address

PO Box 910
Huntington, WV 25712-0910
Phone (304) 522-1550

Other identifiers 3

IdentifierTypeStateIssuer
3810025846MedicaidWV
7100243270MedicaidKY
0084651MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130528000394 KY Practitioner - Diagnostic Radiology 4183862477 Reassigns benefits to 1 organization
I20130528000458 OH Practitioner - Diagnostic Radiology 4183862477 Reassigns benefits to 1 organization
I20130628000091 WV Practitioner - Diagnostic Radiology 4183862477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
JC Edwards School of Medicine, Marshall University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology IncGroup PAC ID 2365340429, 28 clinicians

Practice addresses (Care Compare)

3448 US Route 60
Huntington, WV 25705-2906
Phone 3045221550229

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.121086OHMDDiagnostic Radiology Physician
TP035KYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tsohns Inc Current Accepting new patients
Three Gables Surgery Center LLC Current Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
Radiology Inc Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
St. Mary's Himg, LLC Past Accepting new patients

Locations

2483 Highway 644
Louisa, KY 41230
Phone (606) 324-4745

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

400 Court St
#303
Charleston, WV 25301
Phone (304) 345-1503

3448 US Route 60
Huntington, WV 25705
Phone 3045221550 ext. 229

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1073712576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257120910",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052906",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JOSHUA",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.121086",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "25230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025846",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100243270",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084651",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.