NPIMap

Individual provider Active NPI

Harrison M Gimbel, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Fitchburg, WI
National Provider Identifier
1184042723
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
69185-20 Issued in WI
Practice address
2844 Index Rd
Fitchburg, WI 53713-3117
Phone
(608) 229-7979
Fax
(608) 229-8110
NPI assigned
Apr 1, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 69185-20 WI Primary

Addresses

Primary practice location

2844 Index Rd
Fitchburg, WI 53713-3117

Mailing address

2844 Index Rd
Fitchburg, WI 53713-3117
Phone (608) 229-7979

Other practice location 1

1500 E Medical Center Dr Spc 5316
Ann Arbor, MI 48109-5316
Phone (734) 936-4457

Other identifiers 1

IdentifierTypeStateIssuer
1184042723MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hgimbel269643@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20180817001220 WI Practitioner - Sleep Medicine 7012217078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Wright State University Boonshoft School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone (414) 319-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69185-20WIMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Selene Medical Group, P.a. Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Mar 11, 2022 Accepting new patients
Gellman Medical LLC CurrentSince May 18, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Feb 10, 2023 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Mar 11, 2022 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc Past Accepting new patients

Locations

6330 N Center Dr
Ste 206
Norfolk, VA 23502
Phone (757) 335-6657

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

11725 N Port Washington Rd
Mequon, WI 53092
Phone (262) 240-9640

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: hgimbel269643@direct-ehr-ssmhc.com

Organizations & group practices 7

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 4

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184042723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 INDEX RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133117",
            "telephone_number": "608-229-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 INDEX RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133117",
            "telephone_number": "608-229-7979",
            "fax_number": "608-229-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr Spc 5316",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095316",
            "country_code": "US",
            "telephone_number": "734-936-4457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "HARRISON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WI",
            "license": "69185-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184042723",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgimbel269643@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hgimbel269643@direct-ehr-ssmhc.com",
            "address_1": "2844 Index Rd",
            "city": "Fitchburg",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537133117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2844 Index Rd",
            "city": "Fitchburg",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537133117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.