Active NPI
Christopher H Gibbons, M.D.
- Neurology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 220525
- Practice address
- 1 Deaconess Rd
Beth Israel Deaconess Medical Center, Palmer 111
Boston, MA 02215-5321 - Phone
- (617) 632-8454
- Fax
- (617) 632-0852
- NPI assigned
- May 28, 2006
- Last updated
- May 2, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 220525 | MA | Primary |
Addresses
Primary practice location
1 Deaconess Rd
Beth Israel Deaconess Medical Center, Palmer 111
Boston, MA 02215-5321
Mailing address
1 Deaconess Rd
Beth Israel Deaconess Medical Center, Palmer 111
Boston, MA 02215-5321
Phone (617) 632-8454
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90387 | Other | MA | FALLON |
| 21246423448 | Other | MA | BEECH STREET |
| 469158 | Other | MA | TUFTS ASS. HEALTH PLANS |
| 70010000J27636 | Other | MA | BLUE CROSS/BLUE SHIELD IN |
| AA22089 | Other | MA | HARVARD PILGRIM HC 2 |
| 2078813 | Medicaid | ME | |
| 70010000J27636 | Other | MA | HMO BLUE NETWORK BLUE |
| 70010000J27636 | Other | MA | BCBS DIAGNOSTIC IMAGING |
| 3545778 | Other | MA | AETNA HMO1 |
| 7488577 | Other | MA | AETNA NONHMO |
| 0033246 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 05-01144 | Other | MA | EVERCARE |
| 3654408 | Other | MA | AETNA HMO2 |
| 5517909-001 | Other | MA | CIGNA PAL 1 |
| 70010000J27636 | Other | MA | BLUE CARE 65 |
| 70010000J27636 | Other | MA | BLUE CARE ELECT |
| 970771 | Other | MA | NETWORK HEALTH |
| AA14162 | Other | MA | HARVARD PILGRIM HC 1 |
| 05-00984 | Other | MA | UNITED HEALTHCARE 1 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Joslin Clinic Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr, Inc | Neurology | Current | Accepting new patients |
| Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce | Past | Accepting new patients |
Locations
1 Deaconess Rd
#111
Boston, MA 02215
Phone (617) 632-8454
1 Joslin Pl
Boston, MA 02215
Phone (617) 309-2400
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1 University Ave
Westwood, MA 02090
Phone (617) 754-1021
Interoperability endpoints
- cgibbons255223@direct.bilh.masshiway.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
dba Neurology - HMFP at BIDMC
- Neurology Physician
- Boston, MA
- NPI 1992745236
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1528003621
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
dba Radiology - HMFP at BIDMC
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1093762601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DEACONESS RD",
"address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER, PALMER 111",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155321",
"telephone_number": "617-632-8454",
"fax_number": "617-632-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DEACONESS RD",
"address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER, PALMER 111",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155321",
"telephone_number": "617-632-8454",
"fax_number": "617-632-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "CHRISTOPHER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "220525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "90387",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "21246423448",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS ASS. HEALTH PLANS",
"identifier": "469158",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD IN",
"identifier": "70010000J27636",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HC 2",
"identifier": "AA22089",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2078813",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE NETWORK BLUE",
"identifier": "70010000J27636",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DIAGNOSTIC IMAGING",
"identifier": "70010000J27636",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO1",
"identifier": "3545778",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NONHMO",
"identifier": "7488577",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0033246",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "05-01144",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO2",
"identifier": "3654408",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL 1",
"identifier": "5517909-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE 65",
"identifier": "70010000J27636",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "70010000J27636",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "970771",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HC 1",
"identifier": "AA14162",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE 1",
"identifier": "05-00984",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.