NPIMap

Individual provider Active NPI

Meredith Irene Gamblin, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Evansville, IN
National Provider Identifier
1245202563
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01061874A Issued in IN
Practice address
3700 Washington Ave
Evansville, IN 47714-0541
Phone
(812) 485-4347
Fax
(812) 485-4010
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01061874A IN Primary

Addresses

Primary practice location

3700 Washington Ave
Evansville, IN 47714-0541

Mailing address

PO Box 3186
Evansville, IN 47731-3186
Phone (800) 467-2392

Other identifiers 2

IdentifierTypeStateIssuer
64124498MedicaidKY
200819750MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061214000333 IN Practitioner - Pathology 0446259733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Pathology Associates, LLPGroup PAC ID 4486648862, 5 clinicians
Digestive Care of Evansville PCGroup PAC ID 8022119858, 27 clinicians

Practice addresses (Care Compare)

3700 Washington Ave
Evansville, IN 47750-0541
Phone (812) 485-4347

3800 Venetian Way
Newburgh, IN 47630-8257
Phone (812) 477-6103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
73.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061874AINMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care of Evansville PC CurrentSince Sep 1, 2010 Accepting new patients
Tri-State Pathology Associates, LLP Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2006 Accepting new patients
Kleinert Kutz and Associates Hand Care Center Past Accepting new patients
Anatomic Laboratory of the Tri-State, LLC Past Accepting new patients
Kleinert Kutz and Associates Hand Care Center PastSince Nov 10, 2019 Accepting new patients

Locations

801 Saint Marys Dr
Ste 2
Evansville, IN 47714

801 Saint Marys Dr
Ste 3
Evansville, IN 47714
Phone (812) 477-6103

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3800 Venetian Way
Newburgh, IN 47630
Phone (812) 477-6103

Organizations & group practices 5

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 9

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1245202563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3186",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313186",
            "telephone_number": "800-467-2392",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-4347",
            "fax_number": "812-485-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLIN",
        "first_name": "MEREDITH",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01061874A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64124498",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200819750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.