Michael I Gabrilovich, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35.085432 Issued in OH

Practice address

25 Office Park Dr
Hamilton, OH 45013-1496

Phone

(513) 893-5864

Fax

(513) 893-5865

NPI assigned

Oct 20, 2006

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonary, Critical Care and Sleep Medicine Associates, LLCGroup PAC ID 1052318060, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pulmonary, Critical Care and Sleep Medicine Associates, LLC

  • Pulmonary Disease Physician
  • Hamilton, OH
  • NPI 1952407371

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Ohio, Professional Corporation

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1043572290
  Medicare reassignment NPD
• Marion Area Physicians LLC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1619230802
  Medicare reassignment NPD
• Alliance Physicians Inc

  dba Kettering Health Medical Group

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  NPD (past)
• Uhhs Bedford

  • Internal Medicine Physician
  • Bedford, OH
  • NPI 1811933419
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• The Fort Hamilton Hospital

  dba Kettering Health Hamilton

  • General Acute Care Hospital
  • Hamilton, OH
  • NPI 1104867167
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1346322005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OFFICE PARK DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131496",
            "telephone_number": "513-893-5864",
            "fax_number": "513-893-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OFFICE PARK DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131496",
            "telephone_number": "513-893-5864",
            "fax_number": "513-893-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRILOVICH",
        "first_name": "MICHAEL",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.085432",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.085432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694722",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgabrilovich455308@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "25 Office Park Dr",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "25 Office Park Dr",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valarie Fuller
• Betty Jean Fuquay
• Addison Frances Furry
• Shari Lynn Gabbard, CNP
• Travis Gabbard, LPN
• Anikka Gaines
• Elyse Nancy Galehouse, RN
• Daniel Gallagher
• Lori Jo Galliher
• Angelina La'Nae Gamble, CDCA

• Pulmonary Disease Physician in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.