Individual provider Active NPI

Tricia Kaye Gifford, MD

  • Family Medicine Physician
  • Columbus, IN
National Provider Identifier
1326029158
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01063240 Issued in IN
Practice address
4001 W Goeller Blvd
Columbus, IN 47201-8308
Phone
(812) 375-3330
Fax
(812) 375-3329
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36101716 IL
Family Medicine Physician 207Q00000X 01063240 IN Primary

Addresses

Primary practice location

4001 W Goeller Blvd
Columbus, IN 47201-8308

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Other identifiers 5

IdentifierTypeStateIssuer
036101716MedicaidIL
0004132020OtherILBCBS
201311170MedicaidIN
000000991452OtherINANTHEM PIN
L76814OtherPIN

Other names 1

  • Dr. Tricia Kaye Warner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgifford8001@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20070515000417 IN Practitioner - Family Practice 8921001173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

4001 W Goeller Blvd
Suite a
Columbus, IN 47201-8309
Phone (812) 375-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36101716ILMDFamily Medicine Physician
01063240INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC Family Medicine Current Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
HSHS Holy Family Hospital Inc Past Accepting new patients
Unity Healthcare LLC Past Accepting new patients
Unity Urgent Care LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine Past Accepting new patients

Locations

3201 Middle Rd
Columbus, IN 47203
Phone (812) 372-4956

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

4001 W Goeller Blvd
Ste A
Columbus, IN 47201
Phone (812) 342-2100

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Interoperability endpoints

  • Direct secure messaging: tgifford8001@edirect.crh.org

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 and National Provider Directory roles.

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1326029158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W GOELLER BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018308",
            "telephone_number": "812-375-3330",
            "fax_number": "812-375-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "TRICIA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36101716",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01063240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101716",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004132020",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201311170",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000991452",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "L76814",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgifford8001@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "4001 W Goeller Blvd",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472018308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "WARNER",
            "middle_name": "KAYE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.