Individual provider Active NPI

Barry Kent Gimbel, MD

  • Cardiovascular Disease Physician
  • Milwaukee, WI
National Provider Identifier
1093715856
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24375 Issued in WI
Practice address
5150 N Port Washington Rd
Ste 249
Milwaukee, WI 53217-5474
Phone
(414) 964-0000
Fax
(414) 964-2556
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 24375 WI Primary

Addresses

Primary practice location

5150 N Port Washington Rd
Ste 249
Milwaukee, WI 53217-5474

Mailing address

5150 N Port Washington Rd
Ste 249
Milwaukee, WI 53217-5474
Phone (414) 964-0000

Other identifiers 1

IdentifierTypeStateIssuer
30439600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040727001587 WI Practitioner - Cardiovascular Disease (Cardiology) 9931179991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Medical College of Wisconsin, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone (414) 672-1353

2906 S 20TH St
Milwaukee, WI 53215-3732
Phone (414) 672-1353

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sixteenth Street Community Health Centers, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Sep 1, 2001 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Sep 1, 2001 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Oct 1, 2013 Accepting new patients
16TH Street Community Health Center Inc. CurrentSince Oct 1, 2013 Accepting new patients
Cardiac Evaluation Services Inc Past Accepting new patients
Barry K Gimbel MD SC Cardiovascular Disease Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

W62N179 Washington Ave
Cedarburg, WI 53012
Phone (262) 375-3555

5150 N Port Washington Rd
Ste 249
Glendale, WI 53217
Phone (414) 964-0000

2400 W Villard Ave
Glendale, WI 53209
Phone (414) 527-8000

1635 W National Ave
Milwaukee, WI 53204
Phone (262) 408-5094

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204

4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720

2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800

309 E North St
Waukesha, WI 53188
Phone (262) 408-2530

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: bgimbel363250@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1093715856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "address_2": "STE 249",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-964-0000",
            "fax_number": "414-964-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "address_2": "STE 249",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-964-0000",
            "fax_number": "414-964-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "BARRY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "24375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30439600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.