Individual provider Active NPI

Gilbert Shawn Duxbury, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Springfield, IL
National Provider Identifier
1508014044
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
036.170222 Issued in IL
Practice address
400 N 9TH St FL 2
Springfield, IL 62702-5310
Phone
(217) 545-8000
Fax
(217) 545-6041
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 62969 GA
Pediatric Orthopaedic Surgery Physician 207XP3100X MD2019-0704 NM
Pediatric Orthopaedic Surgery Physician 207XP3100X 036.170222 IL Primary

Addresses

Primary practice location

400 N 9TH St FL 2
Springfield, IL 62702-5310

Mailing address

201 E Madison St Ste 328
Springfield, IL 62702-5131
Phone (217) 545-8000

Other practice location 1

6 Executive Park Dr NE
Suite # 10
Atlanta, GA 30329-2221
Phone (404) 321-9900

Other practice location 2

6 Executive Park Dr NE
Suite # 10
Atlanta, GA 30329-2221
Phone (404) 321-9900

Other practice location 3

1 Unm Msc10 5600 Department Of Orthopaedics
Albuquerque, NM 87131
Phone (505) 272-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, MO, IL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180411000226 TX Practitioner - Orthopedic Surgery 7719133198 Reassigns benefits to 1 organization
I20190927002323 NM Practitioner - Orthopedic Surgery 7719133198 Reassigns benefits to 1 organization
I20210716000257 MO Practitioner - Orthopedic Surgery 7719133198 Reassigns benefits to 2 organizations
I20241011000781 IL Practitioner - Orthopedic Surgery 7719133198 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.170222ILMDPediatric Orthopaedic Surgery Physician
MD2019-0704NMMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Health Center of Stoddard County LLC CurrentSince Nov 23, 2021 Accepting new patients
Texas Children'S Physician Group CurrentSince Mar 2, 2018 Accepting new patients
Unm Medical Group, Inc. CurrentSince Aug 7, 2019 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jun 23, 2021 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Nov 23, 2021 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 18, 2024 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Unm Medical Group Inc CurrentSince Aug 7, 2019 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 18, 2024 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

201 E Madison St
Ste 328
Springfield, IL 62702

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

400 N 9th St
Fl 2
Springfield, IL 62702

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1723 Broadway St
Ste 315
Cpe Girardeau, MO 63701
Phone (573) 332-0226

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003

Interoperability endpoints

  • Direct secure messaging: gilbertduxbury@siusm.allscriptsdirect.net
  • Direct secure messaging: shawn.duxbury.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: gduxbury@poa1811.srs-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1508014044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MADISON ST STE 328",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025131",
            "telephone_number": "217-545-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 9TH ST FL 2",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025310",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-6041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Executive Park Dr NE",
            "address_2": "Suite # 10",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292221",
            "country_code": "US",
            "telephone_number": "404-321-9900",
            "fax_number": "678-868-2038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Executive Park Dr NE",
            "address_2": "Suite # 10",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292221",
            "country_code": "US",
            "telephone_number": "404-321-9900",
            "fax_number": "678-868-2038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Unm Msc10 5600 Department Of Orthopaedics",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87131",
            "country_code": "US",
            "telephone_number": "505-272-4107",
            "fax_number": "505-272-8098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUXBURY",
        "first_name": "GILBERT",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "GA",
            "license": "62969",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2019-0704",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "IL",
            "license": "036.170222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.