Active NPI
Rick W Gebhart, D.O.
- Family Medicine Physician
- Vandalia, OH
National Provider Identifier
1306849823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34005782
- Practice address
- 505 Corporate Center Dr
Vandalia, OH 45377-1167 - Phone
- (937) 619-0050
- Fax
- (937) 619-0069
- NPI assigned
- May 30, 2005
- Last updated
- Jan 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34005782 | OH | Primary |
Addresses
Primary practice location
505 Corporate Center Dr
Vandalia, OH 45377-1167
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 619-0050
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23334 | Other | OH | NATIONWIDE HEALTH PLAN |
| D0578203 | Other | OH | HUMANA/CHOICECARE |
| 0122721 | Other | OH | UNITED HEALTHCARE |
| 080191701 | Other | OH | RAILROAD MEDICARE |
| 0938249 | Medicaid | OH | |
| 2192769 | Other | OH | AETNA |
| 302622980900 | Other | OH | OHIO BWC |
| 000000227856 | Other | OH | ANTHEM |
| 147240004 | Other | OH | CARESOURCE |
| 34005782 | Other | OH | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200124001963 | OH | Order and Referring Only - Family Practice | 0648208561 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
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.
-
- Intellectual Disabilities Intermediate Care Facility
- London, OH
- NPI 1235346537
-
- Intellectual Disabilities Intermediate Care Facility
- Dayton, OH
- NPI 1275740516
-
- Intellectual Disabilities Intermediate Care Facility
- Clayton, OH
- NPI 1659588853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1306849823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-619-0050",
"fax_number": "937-619-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 CORPORATE CENTER DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453771167",
"telephone_number": "937-619-0050",
"fax_number": "937-619-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBHART",
"first_name": "RICK",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-30",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34005782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE HEALTH PLAN",
"identifier": "23334",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICECARE",
"identifier": "D0578203",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0122721",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080191701",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0938249",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2192769",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BWC",
"identifier": "302622980900",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000227856",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "147240004",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "34005782",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vandalia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.