Individual provider Active NPI

Michael Andrew Gilbert, DO

  • Diagnostic Radiology Physician
  • Clinton, MO
National Provider Identifier
1205039534
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2012008859 Issued in MO
Practice address
1600 N 2ND St
Clinton, MO 64735-1192
Phone
(660) 885-5511
Fax
(660) 885-8496
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2008015641 MO
Diagnostic Radiology Physician 2085R0202X 2012008859 MO Primary

Addresses

Primary practice location

1600 N 2ND St
Clinton, MO 64735-1192

Mailing address

PO Box 548
Clinton, MO 64735-0548
Phone (816) 309-0849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michaelgilbert@mhccaremail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20120628000672 MO Practitioner - Diagnostic Radiology 0840455655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 S Tebo St
Windsor, MO 65360-1161
Phone (660) 647-2147

1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-5511

1602 N 2ND St
Clinton, MO 64735-1192

1771 Commercial St
Warsaw, MO 65355-3096
Phone (660) 438-5193

603 E Gaines Dr
GVMH Medical East
Clinton, MO 64735-3205
Phone (660) 885-8171

675 3Rd St
Osceola, MO 64776-2934
Phone (417) 646-2231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008015641MOMDDiagnostic Radiology Physician
2012008859MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2013 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2013 Accepting new patients

Locations

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

Interoperability endpoints

  • Direct secure messaging: michaelgilbert@mhccaremail.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1205039534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647350548",
            "telephone_number": "816-309-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "660-885-5511",
            "fax_number": "660-885-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2008015641",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2012008859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelgilbert@mhccaremail.com",
            "affiliation": "N",
            "address_1": "1600 N 2nd St",
            "city": "Clinton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647351192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.