Individual provider Active NPI

Firmin (F) Forrest Gabriels, MD

  • Ophthalmology Physician
  • Albany, NY
National Provider Identifier
1558463802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
096580-1 Issued in NY
Practice address
960 Western Avenue
Albany, NY 12203
Phone
(518) 482-4459
Fax
(518) 482-1465
NPI assigned
Sep 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 096580-1 NY Primary

Addresses

Primary practice location

960 Western Avenue
Albany, NY 12203

Mailing address

960 Western Avenue
Albany, NY 12203
Phone (518) 482-4459

Other identifiers 7

IdentifierTypeStateIssuer
00542998MedicaidNY
17178OtherNYMVP
50965OtherNYGHI
00406444001OtherNYBLUE SHIELD
51376OtherNYBLUE CROSS
80-13963OtherNYEMPIRE
10007200OtherNYGDPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101013000437 NY Practitioner - Ophthalmology 2062537558 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
096580-1NYMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: fforrest.gabriels@fgabrielsmdpccgabrielsmd.chartmakerdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558463802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WESTERN AVENUE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-482-4459",
            "fax_number": "518-482-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WESTERN AVENUE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-482-4459",
            "fax_number": "518-482-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELS",
        "first_name": "FIRMIN (F)",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "096580-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00542998",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "17178",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "50965",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00406444001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51376",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "80-13963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GDPHP",
            "identifier": "10007200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.