Active NPI
Michael D Gibbons, MD
- Hospitalist Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- C1-0024436
- Practice address
- 4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200 - Phone
- (302) 623-0188
- Fax
- (302) 733-5640
- NPI assigned
- Jun 11, 2007
- Last updated
- Sep 14, 2021
- Sex
- Male
- Sole proprietor
- No
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 | C1-0024436 | DE | |
| Hospitalist Physician | 208M00000X | 45257 | TN | |
| Hospitalist Physician | 208M00000X | C1-0024436 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200
Mailing address
4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200
Phone (302) 623-0188
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100104920 | Medicaid | KY | |
| 1522473 | Medicaid | TN | |
| 4267480 | Other | TN | BCBST |
| P00888532 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kentucky College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Union Hospital of Cecil County, Inc | Current | Accepting new patients | |
| Children and Adults Medical Group, LLC | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc. | Past | Accepting new patients | |
| Saint Thomas Medical Partners | Internal Medicine | Past | Accepting new patients |
| Richland Internal Medicine LLC | Past | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
4220 Harding Pike
#500
Nashville, TN 37205
Phone (615) 222-6977
4230 Harding Pike
Ste 450
Nashville, TN 37205
Phone (615) 222-3945
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.
-
dba CCHS Hospitalist Partners
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
Internal Medicine
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
-
- Multi-Specialty Clinic/Center
- Nashville, TN
- NPI 1659487494
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba Union OMHC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkton, MD
- NPI 1417477993
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
dba Urgent Care at Providence
- General Practice Physician
- Mount Juliet, TN
- NPI 1891850780
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1285838763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD STE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD STE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0024436",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "45257",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "DE",
"license": "C1-0024436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100104920",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522473",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4267480",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00888532",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.