Individual provider Active NPI

Michael D Gabriel, DO

  • Family Medicine Physician
  • Orefield, PA
National Provider Identifier
1093770331
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006258L Issued in PA
Practice address
3560 Route 309
Orefield, PA 18069-2001
Phone
(610) 398-2600
Fax
(610) 398-0240
NPI assigned
Apr 19, 2006
Last updated
Mar 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006258L PA Primary

Addresses

Primary practice location

3560 Route 309
Orefield, PA 18069-2001

Mailing address

3560 Route309
Orefield, PA 18069-2001
Phone (610) 398-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101025000326 PA Practitioner - Family Practice 8628261534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

3560 Route 309
Orefield, PA 18069-2001
Phone (610) 398-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006258LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Family Medicine CurrentSince Dec 4, 1987 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Dec 4, 1987 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

2895 Hamilton Blvd
Ste 101
Allentown, PA 18104
Phone (610) 432-9593

798 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (610) 336-8260

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

3560 Route 309
Orefield, PA 18069
Phone (610) 398-2600

Organizations & group practices 4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1093770331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 ROUTE309",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692001",
            "telephone_number": "610-398-2600",
            "fax_number": "610-398-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 ROUTE 309",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692001",
            "telephone_number": "610-398-2600",
            "fax_number": "610-398-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006258L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orefield, PA

Sources for this page

Verify at the official NPI Registry.