Active NPI
Carlos J Gaibor, MD
- Internal Medicine Physician
- Bowling Green, KY
National Provider Identifier
1467039883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 59771
- Practice address
- 250 Park St
Bowling Green, KY 42101 - Phone
- (270) 780-2770
- Fax
- (270) 780-2691
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 59771 | KY | Primary |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101
Mailing address
567 Cooksey LN Apt 5011
Bowling Green, KY 42103-9186
Phone (929) 922-1574
Other names 1
- Carlos Javier Gaibor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251126002357 | KY | Order and Referring Only - Cardiovascular Disease (Cardiology) | 2062904980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1467039883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 COOKSEY LN APT 5011",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421039186",
"telephone_number": "929-922-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "42101",
"telephone_number": "270-780-2770",
"fax_number": "270-780-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAIBOR",
"first_name": "CARLOS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "59771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLOS",
"last_name": "GAIBOR",
"middle_name": "JAVIER",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.