Individual provider Active NPI

John D Gabriel, MD

  • Family Medicine Physician
  • North Richland Hills, TX
National Provider Identifier
1407844764
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F1559 Issued in TX
Practice address
4351 Booth Calloway Rd
#101
North Richland Hills, TX 76180-7378
Phone
(817) 284-1165
Fax
(817) 284-2677
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F1559 TX Primary

Addresses

Primary practice location

4351 Booth Calloway Rd
#101
North Richland Hills, TX 76180-7378

Mailing address

4351 Booth Calloway Rd
#101
North Richland Hills, TX 76180-7378
Phone (817) 284-1165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040517001415 TX Practitioner - Family Practice 7315937646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Hills Family Practice, PAGroup PAC ID 9638154313, 5 clinicians

Practice addresses (Care Compare)

4351 Booth Calloway Rd
Suite 101
North Richland Hills, TX 76180-7319
Phone (817) 284-1165

Hospital & facility affiliations

  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

Procedures performed for Medicare patients

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1559TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Hills Family Practice, PA Family Medicine CurrentSince Apr 14, 1982 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

300 N Rufe Snow Dr
Keller, TX 76248
Phone (254) 289-2285

4351 Booth Calloway Rd
Ste 101
Richland Hills, TX 76180
Phone (817) 284-1165

Interoperability endpoints

  • Direct secure messaging: john.gabriel.1@21606.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1407844764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD",
            "address_2": "#101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807378",
            "telephone_number": "817-284-1165",
            "fax_number": "817-284-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD",
            "address_2": "#101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807378",
            "telephone_number": "817-284-1165",
            "fax_number": "817-284-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.