Individual provider Active NPI

Gregory K Gahl, MD

  • Family Medicine Physician
  • Muncie, IN
National Provider Identifier
1124105879
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01058374 Issued in IN
Practice address
3631 N Morrison Rd
Muncie, IN 47304-5547
Phone
(765) 281-3443
Fax
(765) 286-4124
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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 01058374 IN Primary

Addresses

Primary practice location

3631 N Morrison Rd
Muncie, IN 47304-5547

Mailing address

3631 N Morrison Rd
Muncie, IN 47304-5547
Phone (765) 281-3443

Other identifiers 1

IdentifierTypeStateIssuer
200472910MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregory.gahlmd.p39@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040728001130 IN Practitioner - Family Practice 2365412277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

276 Manchester Ave
Wabash, IN 46992-1808
Phone (260) 563-2126

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058374INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Jun 1, 2010 Accepting new patients
American Health Network of Indiana, LLC Family Medicine CurrentSince Jun 1, 2010 Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients
Emergency Physicians of Delaware County, P.C. Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

6855 Shore Ter
Ste 110
Indianapolis, IN 46254
Phone (317) 328-6730

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

3631 N Morrison Rd
Muncie, IN 47304
Phone (765) 281-3443

3631 N Morrison Rd
Ste 200
Muncie, IN 47304
Phone (765) 281-3443

110 N Tillotson Ave
Muncie, IN 47304
Phone (765) 281-3431

276 Manchester Ave
Wabash, IN 46992
Phone (260) 563-2126

Interoperability endpoints

  • Direct secure messaging: ggahl210999@direct.optum.com
  • Direct secure messaging: gregory.gahlmd.p39@direct.ahni.nextgenshare.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 11

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1124105879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045547",
            "telephone_number": "765-281-3443",
            "fax_number": "765-286-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045547",
            "telephone_number": "765-281-3443",
            "fax_number": "765-286-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHL",
        "first_name": "GREGORY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200472910",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.gahlmd.p39@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3631 N Morrison Rd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473045547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.