Daniel Gabriel, MD
Individual provider Active NPI Pediatrics Physician · Auburn, NY
NPI 1609866508 · NPPES record last updated May 18, 2023
Key facts
- NPI
- 1609866508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 220117-1 (NY)
- Practice address
- 144 Genesee St
Auburn, NY 13021-3503 - Phone
- (315) 253-8477
- Fax
- (315) 515-3191
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041111000530 | NY | Practitioner - Pediatric Medicine | 0446213268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220117 | NY | MD | Family Medicine Physician |
| 220117-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Hill Family Medical, Inc. | Pediatrics | Current |
Accepting new patients |
| East Hill Family Medical, Inc. | Current |
Accepting new patients | |
| St James Hospital | Past | Accepting new patients |
Locations
144 Genesee St
Ste 500
Auburn, NY 13021
Phone (315) 253-6796
13 N Fulton St
Auburn, NY 13021
Phone (315) 253-8477
Interoperability endpoints
- dgabriel@ehfm.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 220117-1 | NY | Yes |
Addresses
Primary practice location
144 Genesee St
Auburn, NY 13021-3503
Mailing address
144 Genesee St
Auburn, NY 13021-3503
Phone (315) 253-8477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2181331 | Medicaid | NY |
Other providers in Auburn, NY
- Kristen Marie Frost
- Paul Xiaobei Fu
- Robin H Fuller
- Douglas Fye
- G Michael Palmer MD PC
- Heather E Gage
- Flora Marie Gagliostro
- Veron Gaines
- Si Gao
- Erin Samantha Gardner
All providers in Auburn, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.