Individual provider Active NPI

Alison Gehle, M.D.

  • Pediatrics Physician
  • Grand Rapids, MI
National Provider Identifier
1255461257
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301501703 Issued in MI
Practice address
5150 Cascade Rd SE
Grand Rapids, MI 49546-3794
Phone
(616) 940-3168
Fax
(616) 940-3352
NPI assigned
Mar 7, 2007
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A95524 CA
Pediatrics Physician 208000000X 036.120285 IL
Pediatrics Physician 208000000X 4301501703 MI Primary

Addresses

Primary practice location

5150 Cascade Rd SE
Grand Rapids, MI 49546-3794

Mailing address

5150 Cascade Rd SE
Grand Rapids, MI 49546-3794
Phone (616) 940-3168

Other practice location 1

1525 W Belmont Ave
Chicago, IL 60657-7176
Phone (773) 281-0982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.120285ILMDPediatrics Physician
4301501703MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Pediatrics LLP Pediatrics Past Accepting new patients
UCSF Pediatrics Associates Pediatrics Past Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1255461257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463794",
            "telephone_number": "616-940-3168",
            "fax_number": "616-940-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463794",
            "telephone_number": "616-940-3168",
            "fax_number": "616-940-3352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577176",
            "country_code": "US",
            "telephone_number": "773-281-0982",
            "fax_number": "773-472-7395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEHLE",
        "first_name": "ALISON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A95524",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.120285",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301501703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.