Gary E Giblin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95243 Issued in NM

Practice address

2145 Caja del Oro Grant Rd
Santa Fe, NM 87507-3279

Phone

(505) 438-3195

Fax

(505) 424-5699

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Family Practice

Education

University of New Mexico School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Familia Medical CenterGroup PAC ID 4082601026, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

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 and National Provider Directory roles.

• La Familia Medical Center

  dba La Familia Health

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1811059322
  Medicare reassignment Care Compare group NPD
• La Familia Medical Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1740717743
  NPD
• La Familia Medical Center

  dba La Familia Health

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1346251782

  Family Medicine

  NPD (past)
• St Vincent Hospital

  dba CHRISTUS St. Vincent Regional Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  NPD (past)

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

• St Vincent Hospital

  dba CHRISTUS St. Vincent Regional Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1396733283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 CAJA DEL ORO GRANT RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073279",
            "telephone_number": "505-438-3195",
            "fax_number": "505-424-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 CAJA DEL ORO GRANT RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073279",
            "telephone_number": "505-438-3195",
            "fax_number": "505-424-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBLIN",
        "first_name": "GARY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H4541",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Gibbons, MD
• Kimberly Gibbs, LMT, RMTI
• Marianne Gibbs, RD
• Stephen Walter Gibbs, DDS
• Stevie Rae Gibbs
• Gregory Scott Gibson, MA, LPCC
• Kayla Briann Gibson, PHARMD
• Gilbert Chiropractic & Wellness LLC
• Britney Marie Gilbert
• Nina Stephania Gilbert, D.C.

• Family Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.