NPIMap

Individual provider Active NPI

Cherie O. Gambrel, M.D.

  • Family Medicine Physician
  • Corbin, KY
National Provider Identifier
1265692123
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48556 Issued in KY
Practice address
14949 N US Highway 25 E
Ste. 4
Corbin, KY 40701-6285
Phone
(606) 528-0305
Fax
(606) 523-4368
NPI assigned
Jun 13, 2008
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125055005 IL
Family Medicine Physician 207Q00000X 036128438 IL
Family Medicine Physician 207Q00000X 48556 KY Primary

Addresses

Primary practice location

14949 N US Highway 25 E
Ste. 4
Corbin, KY 40701-6285

Mailing address

PO Box 1325
Corbin, KY 40702-1325
Phone (606) 526-8131

Other identifiers 2

IdentifierTypeStateIssuer
P01246907OtherKYRR MEDICARE
7100385270MedicaidKY

Other names 1

  • Dr. Cherie O Siu Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgambrel16077@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20151026002079 KY Practitioner - Family Practice 1759538812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Illinois Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1007 Cumberland Falls Hwy
Corbin, KY 40701-2714
Phone (606) 528-0305

96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036128438ILMDFamily Medicine Physician
48556KYMDFamily Medicine Physician
125055005ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Family Medicine CurrentSince Apr 26, 2016 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Corbin London Medical Associates Family Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 26, 2016 Accepting new patients
Jicarilla IHS Pharmacy PastSince Mar 5, 2023 Accepting new patients
Carle Health Medical Group Family Medicine Past Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

14949 N US Highway 25 E
Ste 4
Corbin, KY 40701

96 Future Dr
Corbin, KY 40701

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1265692123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021325",
            "telephone_number": "606-526-8131",
            "fax_number": "606-528-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14949 N US HIGHWAY 25 E",
            "address_2": "STE. 4",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016285",
            "telephone_number": "606-528-0305",
            "fax_number": "606-523-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBREL",
        "first_name": "CHERIE",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125055005",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128438",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "48556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01246907",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100385270",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgambrel16077@bhkydirect.com",
            "affiliation": "N",
            "address_1": "14949 N US Highway 25 E",
            "address_2": "Ste. 4",
            "city": "Corbin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407016285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHERIE",
            "last_name": "SIU",
            "middle_name": "O",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.