Active NPI
Ryan Gibb, M.D.
- Pain Medicine Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 50520
- Practice address
- 1425 S Higley Rd Ste 102
Gilbert, AZ 85296-4798 - Phone
- (480) 561-5000
- NPI assigned
- May 7, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 50520 | AZ | |
| Anesthesiology Physician | 207L00000X | 9017935-1205 | UT | |
| Interventional Pain Medicine Physician | 208VP0014X | 50520 | AZ | |
| Pain Medicine Physician | 208VP0000X | 50520 | AZ | Primary |
Addresses
Primary practice location
1425 S Higley Rd Ste 102
Gilbert, AZ 85296-4798
Mailing address
1425 S Higley Rd Ste 102
Gilbert, AZ 85296-4798
Other practice location 1
10238 E Hampton Ave Ste 416
Mesa, AZ 85209-3320
Phone (480) 561-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326366832 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Arizona College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10238 E Hampton Ave
Suite 416
Mesa, AZ 85209-3320
Phone (480) 561-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9017935-1205 | UT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Pain and Spine | Anesthesiology | Current | Accepting new patients |
| Canyon Pain and Spine | Pain Medicine | Current | Accepting new patients |
| Canyon Pain Surgery Center | Current | Accepting new patients | |
| Canyon Pain Surgery Center | Anesthesiology | Current | Accepting new patients |
Locations
1425 S Higley Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 329-3453
10238 E Hampton Ave
Ste 416
Mesa, AZ 85209
4540 E Baseline Rd
Ste 117
Mesa, AZ 85206
Phone (480) 561-0446
4566 E Inverness Ave
Ste 108
Mesa, AZ 85206
Phone (480) 659-4811
13920 W Camino del Sol
Ste 8
Sun City West, AZ 85375
Phone (623) 544-6900
1492 S Mill Ave
Ste 305
Tempe, AZ 85281
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1972217180
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1245054816
-
- Durable Medical Equipment & Medical Supplies
- Buckeye, AZ
- NPI 1467292938
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1326366832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S HIGLEY RD STE 102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S HIGLEY RD STE 102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964798",
"telephone_number": "480-561-5000"
}
],
"practiceLocations": [
{
"address_1": "10238 E Hampton Ave Ste 416",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852093320",
"country_code": "US",
"telephone_number": "480-561-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBB",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "50520",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "9017935-1205",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": "50520",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "50520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326366832",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.