Individual provider Active NPI

Kathryn Gloria Gibbons, M.D.

  • Pediatric Endocrinology Physician
  • Scranton, PA
National Provider Identifier
1083057764
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
MD459449 Issued in PA
Practice address
5 Morgan Hwy
Scranton, PA 18508-2641
Phone
(570) 207-4360
NPI assigned
Apr 11, 2013
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 35.140899 OH
Student in an Organized Health Care Education/Training Program 390200000X PA
Student in an Organized Health Care Education/Training Program 390200000X CT
Pediatric Endocrinology Physician 2080P0205X MD459449 PA Primary

Addresses

Primary practice location

5 Morgan Hwy
Scranton, PA 18508-2641

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

1000 Meade St
Dunmore, PA 18512-3195
Phone (570) 207-5337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgibbons108923@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190925002868 NY Practitioner - EndocrinologyPractitioner - Pediatric Medicine 6800190232 Reassigns benefits to 1 organization
I20220823000783 PA Practitioner - Pediatric Medicine 6800190232 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.140899OHMDPediatric Endocrinology Physician
MD459449PAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 16, 2019 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2022 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Aug 16, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Medical Center Past Accepting new patients
Geisinger Clinic Pediatric Endocrinology Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

100 N Academy Ave
Danville, PA 17822

1000 Meade St
Ste 102
Dunmore, PA 18512
Phone (570) 330-5088

5 Morgan Hwy
Ste 8
Scranton, PA 18508
Phone (570) 207-4360

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1083057764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-207-4360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Meade St",
            "address_purpose": "LOCATION",
            "city": "Dunmore",
            "state": "PA",
            "postal_code": "185123195",
            "country_code": "US",
            "telephone_number": "570-207-5337",
            "fax_number": "570-207-5270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "KATHRYN",
        "middle_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "OH",
            "license": "35.140899",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "PA",
            "license": "MD459449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgibbons108923@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 Morgan Hwy",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185082641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.