NPIMap

Individual provider Active NPI

James Arthur Gibson, M.D.

  • Internal Medicine Physician
  • Waterford, MI
National Provider Identifier
1104838655
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065590 Issued in MI
Practice address
5784 Highland Rd
Waterford, MI 48327-1876
Phone
(248) 673-6667
Fax
(248) 673-7234
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301065590 MI Primary

Addresses

Primary practice location

5784 Highland Rd
Waterford, MI 48327-1876

Mailing address

5784 Highland Rd
Waterford, MI 48327-1876
Phone (248) 673-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000866 MI Practitioner - Internal Medicine 8426947896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians
James a. Gibson, M.D., P.C.Group PAC ID 5890685499, 2 clinicians

Practice addresses (Care Compare)

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

5784 Highland Rd
Waterford, MI 48327-1826
Phone (248) 889-4765

Hospital & facility affiliations

  • Residential Home Health and Hospice Home health agency, Lapeer, MI, CCN 237495
  • Trinity Health at Home- Southeast Michigan Home health agency, Livonia, MI, CCN 237069
  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065590MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Gibson, M.D., P.C. Internal Medicine CurrentSince Apr 30, 2003 Accepting new patients
Bloomfield Internal Medicine Assoc PC Internal Medicine PastSince Mar 2, 1998 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine PastSince Dec 18, 2003 Accepting new patients

Locations

5784 Highland Rd
Waterford, MI 48327
Phone (248) 673-6667

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14305/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.gibson.1@14305.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1104838655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271876",
            "telephone_number": "248-673-6667",
            "fax_number": "248-673-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271876",
            "telephone_number": "248-673-6667",
            "fax_number": "248-673-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.