NPIMap

Individual provider Active NPI

Guy Neil Gibson, D.O.

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1417198995
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1904 Issued in NE
Practice address
905 S 110TH PLZ
Omaha, NE 68154-3370
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Mar 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1904 NE Primary

Addresses

Primary practice location

905 S 110TH PLZ
Omaha, NE 68154-3370

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Other practice location 1

2501 Capehart Rd
Offutt AFB, NE 68113-1043
Phone (402) 294-7405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX, ND3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190114000947 NE Practitioner - Diagnostic Radiology 8325384258 Reassigns benefits to 1 organization
I20190304000209 TX Practitioner - Diagnostic Radiology 8325384258 Reassigns benefits to 3 organizations
I20240405002729 ND Practitioner - Diagnostic Radiology 8325384258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1301 E H St
Community Hospital
MC Cook, NE 69001-3482
Phone (308) 344-2650

1313 N Cheyenne St
Dundy County Hospital
Benkelman, NE 69021-3074
Phone (308) 423-2204

145 Memorial Dr
Broken Bow, NE 68822-1378
Phone (308) 872-4100

1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 234-2000

2400 32ND Ave S
Fargo, ND 58103-5800
Phone (701) 234-2000

510 N Green St
Cherry County Hospital
Valentine, NE 69201-1932
Phone (402) 376-2525

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

600 W 12TH St
Chase County Community Hospital
Imperial, NE 69033-3130
Phone (308) 882-7111

601 W Leota St
North Platte, NE 69101-6525

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

900 Lincoln Ave
Grant, NE 69140-3095
Phone (308) 352-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1904NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince May 20, 2024 Accepting new patients
Ton Sells Hospital CurrentSince Jan 19, 2019 Accepting new patients
Sanford Medical Center Fargo CurrentSince May 20, 2024 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Ton San Simon Health Center CurrentSince Jan 19, 2019 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Ton San Xavier Health Center CurrentSince Jan 19, 2019 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 11

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 10

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": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1417198995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S 110TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543370",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Capehart Rd",
            "address_purpose": "LOCATION",
            "city": "Offutt AFB",
            "state": "NE",
            "postal_code": "681131043",
            "country_code": "US",
            "telephone_number": "402-294-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GUY",
        "middle_name": "NEIL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.