Raisa R Gao-Gibbons, DO

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

5101029433 Issued in MI

Practice address

4967 Crooks Rd Ste 230
Troy, MI 48098-5808

Phone

(248) 385-0990

NPI assigned

May 4, 2020

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: rgao987820@direct.hfhs.org

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1265053003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29992 NORTHWESTERN HWY STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343292",
            "telephone_number": "248-780-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD STE 230",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985808",
            "telephone_number": "248-385-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11051 Hall Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "MI",
            "postal_code": "483175742",
            "country_code": "US",
            "telephone_number": "586-939-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAO-GIBBONS",
        "first_name": "RAISA",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "104560",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "5101029433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Gamalski, D. O.
• Ryver Dawn Gamble, LLPC
• Jamie Gamm, DPT
• Rodney Wayne Gammon, MBA
• Gao Acupuncture Center PLLC (Troy Acupuncture & Wellness Center)
• Hong Gao, L.AC
• Lorena Gappy, PHARMD
• Sharon Garant, LMSW
• Kathryn Garcia, OTRL
• Erin L Gardette, CMT

• Colon & Rectal Surgery Physician in Troy, MI
• Providers in Troy, MI by specialty
• Colon & Rectal Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.