Active NPI
Edward F Gibbons, MD
- Cardiovascular Disease Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD00022606
- Practice address
- 325 9TH Ave
Seattle, WA 98104-2420 - Phone
- (206) 744-3475
- NPI assigned
- Feb 15, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 89019 | SC | |
| Cardiovascular Disease Physician | 207RC0000X | 66586 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | CDR.0001690 | CO | |
| Cardiovascular Disease Physician | 207RC0000X | T7108 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | 91964 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | 2023-00965 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | MD00022606 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Seattle, WA 98104-2420
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 543-6420
Other practice location 1
1600 E Jefferson St Ste 600
Seattle, WA 98122-5649
Phone (206) 215-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039571 | Other | WA | L&I |
| 1144294232 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MI, NE, LA, ND, VT, MT, MN, MD, IL, NV, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Chicago, Pritzker School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 1St Ave W
Suite 200
Seattle, WA 98119-4223
Phone (833) 426-6686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318452 | NY | MD | Licensed Practical Nurse |
| CDR.0001690 | CO | MD | Cardiovascular Disease Physician |
| 2023-00965 | NC | MD | Cardiovascular Disease Physician |
| 89019 | SC | MD | Cardiovascular Disease Physician |
| MD00022606 | WA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Movn Health Medical Group PLLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
3415 S Sepulveda Blvd
Ste 1168
Los Angeles, CA 90034
3415 S Sepulveda Blvd
Ste 1140
Los Angeles, CA 90034
279 Central Ave
Albany, NY 12206
401 Park Ave S
Fl 10
New York, NY 10016
Phone (347) 252-9771
221 1st Ave W
Ste 200
Seattle, WA 98119
Phone (832) 400-1002
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBIAED/Endpoint/EBIAED
Organizations & group practices 2
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": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1144294232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-543-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-3475"
}
],
"practiceLocations": [
{
"address_1": "1600 E Jefferson St Ste 600",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225649",
"country_code": "US",
"telephone_number": "206-215-4545",
"fax_number": "206-215-4550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBONS",
"first_name": "EDWARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "89019",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "66586",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "CDR.0001690",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "T7108",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "91964",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2023-00965",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00022606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0039571",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144294232",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.