Active NPI
Xunda A. Gibson, M.D.
- Internal Medicine Physician
- Miami Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A83389
- Practice address
- 17940 NW 27TH Ave
Miami Gardens, FL 33056-3505 - Phone
- (305) 621-8899
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME89553 | FL | |
| Internal Medicine Physician | 207R00000X | 2771 | VI | |
| Internal Medicine Physician | 207R00000X | A83389 | CA | Primary |
Addresses
Primary practice location
17940 NW 27TH Ave
Miami Gardens, FL 33056-3505
Mailing address
2436 N Federal Hwy Ste 229
Lighthouse Point, FL 33064-6854
Phone (561) 543-0616
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270783700 | Medicaid | FL | |
| 270783703 | Medicaid | FL | |
| 35070 | Other | FL | BCBS |
| P00322676 | Other | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4000 Beeston Hill Medical Ctr
Suite 11
Christiansted, VI 00820-5254
Phone (561) 543-0616
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83389 | CA | MD | Internal Medicine Physician |
| ME89553 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Florida, LLC | Current | Accepting new patients | |
| Eastside Hospitalists Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Galen Inpatient Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Sports Medicine Grant, Inc | Past | Accepting new patients | |
| QMC LLC | Past | Accepting new patients |
Locations
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423
Interoperability endpoints
- xunda.gibson.p1@direct.bondclinicpa.nextgenshare.com
Organizations & group practices 11
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.
-
- Hospitalist Physician
- Lake Wales, FL
- NPI 1457646903
-
- Hospitalist Physician
- Hollywood, FL
- NPI 1285676957
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Internal Medicine Physician
- Selma, CA
- NPI 1366700817
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
-
- Hospitalist Physician
- Miami, FL
- NPI 1003216391
-
- Orthopaedic Surgery Physician
- Columbus, OH
- NPI 1588649842
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- St. Croix, VI
- NPI 1922621457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1205879202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2436 N FEDERAL HWY STE 229",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646854",
"telephone_number": "561-543-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17940 NW 27TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563505",
"telephone_number": "305-621-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "XUNDA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME89553",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VI",
"license": "2771",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A83389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270783700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270783703",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "35070",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00322676",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.