Active NPI
Matthew D Gibb, MD
- Interventional Cardiology Physician
- Concord, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 16308
- Practice address
- 246 Pleasant Street
Memorial Building, West, Ground Flo
Concord, NH 03301-2548 - Phone
- (603) 224-6070
- Fax
- (603) 227-7555
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 16308 | NH | |
| Cardiovascular Disease Physician | 207RC0000X | 036088393 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036088393 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 16308 | NH | Primary |
Addresses
Primary practice location
246 Pleasant Street
Memorial Building, West, Ground Flo
Concord, NH 03301-2548
Mailing address
246 Pleasant Street
Memorial Building, West, Ground Flo
Concord, NH 03301-2548
Phone (603) 224-6070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Saint Louis University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-1725
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 15 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
246 Pleasant St
Ste 103
Concord, NH 03301
Phone (603) 224-1725
246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223
250 Pleasant St
Ofc
Concord, NH 03301
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Psychiatric Hospital Unit
- Concord, NH
- NPI 1124070966
-
- General Practice Physician
- Concord, NH
- NPI 1801840764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, NH
- NPI 1215988530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1609895820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 PLEASANT STREET",
"address_2": "MEMORIAL BUILDING, WEST, GROUND FLO",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012548",
"telephone_number": "603-224-6070",
"fax_number": "603-227-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 PLEASANT STREET",
"address_2": "MEMORIAL BUILDING, WEST, GROUND FLO",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012548",
"telephone_number": "603-224-6070",
"fax_number": "603-227-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBB",
"first_name": "MATTHEW",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NH",
"license": "16308",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036088393",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036088393",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NH",
"license": "16308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.