Individual provider Active NPI

Gregory M Sibenaller, DO

  • Student in an Organized Health Care Education/Training Program
  • Mason City, IA
National Provider Identifier
1184367724
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1010 4TH St SW Ste 305
Mason City, IA 50401-2801
Phone
(641) 428-5700
Fax
(641) 428-2515
NPI assigned
Apr 20, 2022
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1010 4TH St SW Ste 305
Mason City, IA 50401-2801

Mailing address

600 1St St NW Ste 101
Mason City, IA 50401-2932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20251013003841 IA Practitioner - Family Practice 9739560970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

405 S Clark St
Suite 100
Carroll, IA 51401-3047
Phone (712) 792-2222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthony Regional Hospital and Nursing Home CurrentSince Sep 2, 2025 Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Sep 2, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

Interoperability endpoints

  • Direct secure messaging: gmsibenaller@cynchealthdsm.org

Organizations & group practices 3

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 1

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": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1184367724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST ST NW STE 101",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST SW STE 305",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012801",
            "telephone_number": "641-428-5700",
            "fax_number": "641-428-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBENALLER",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.