Individual provider Active NPI

Gabriel Vincent Skiba, DO

  • Family Medicine Physician
  • Camdenton, MO
National Provider Identifier
1184286510
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021038267 Issued in MO
Practice address
1652 N. Business Route 5
Camdenton, MO 65020-6502
Phone
(877) 406-2662
NPI assigned
Jul 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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 2021038267 MO Primary

Addresses

Primary practice location

1652 N. Business Route 5
Camdenton, MO 65020-6502

Mailing address

304 W Washington Ave
Richland, MO 65556-7101
Phone (877) 406-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211026000598 MO Practitioner - Family Practice 4183012032 Reassigns benefits to 8 organizations
I20231207000574 IA Practitioner - Emergency Medicine 4183012032 Reassigns benefits to 1 organization
I20260324000050 FL Practitioner - Emergency MedicinePractitioner - Family Practice 4183012032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians
Emergency Medicine Services of Mo LLCGroup PAC ID 1951766559, 85 clinicians
Potosi Emergency Group, LLCGroup PAC ID 0648588541, 19 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

2100 SE Blue Pkwy
Lee's Summit Medical Center
Lee's Summit, MO 64063-1007
Phone (816) 282-5000

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 530-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021038267MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General John J Pershing Memorial Hospital Association CurrentSince Nov 1, 2021 Accepting new patients
Richland Medical Center, Inc. Current Accepting new patients
CH Specialty Services Mo LLC CurrentSince Mar 6, 2024 Accepting new patients
Curana Health of Missouri-Kansas LLC Family Medicine CurrentSince Mar 6, 2024 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Nov 9, 2023 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Macon County Samaritan Hospital CurrentSince Oct 20, 2021 Accepting new patients
Spencer Municipal Hospital CurrentSince Nov 9, 2023 Accepting new patients
Jefferson City Nursing and Rehabilitation Center, LLC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Northwest Iowa Dermatology LLC Past Accepting new patients

Locations

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1200 1st Ave E
Ste 1
Spencer, IA 51301
Phone (712) 264-6160

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

3870 Columbia Ave
Osage Beach, MO 65065
Phone (573) 302-7490

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 8

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1184286510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W WASHINGTON AVE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655567101",
            "telephone_number": "877-406-2662",
            "fax_number": "573-346-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 N. BUSINESS ROUTE 5",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206502",
            "telephone_number": "877-406-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBA",
        "first_name": "GABRIEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-05",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021038267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camdenton, MO

Sources for this page

Verify at the official NPI Registry.