Individual provider Active NPI

Troy Gibbons, MD

  • Pediatric Gastroenterology Physician
  • Lexington, KY
National Provider Identifier
1609966266
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
48503 Issued in KY
Practice address
138 Leader Ave Ofc 208
Dept. of Pediatrics, Division of Gastroenterology
Lexington, KY 40506-9983
Phone
(859) 218-1676
Fax
(859) 257-7799
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X E-3162 AR
Pediatric Gastroenterology Physician 2080P0206X 48503 KY Primary

Addresses

Primary practice location

138 Leader Ave Ofc 208
Dept. of Pediatrics, Division of Gastroenterology
Lexington, KY 40506-9983

Mailing address

138 Leader Ave Ofc 208
Dept. of Pediatrics, Division of Gastroenterology
Lexington, KY 40506-9983
Phone (859) 218-1676

Other identifiers 1

IdentifierTypeStateIssuer
146288001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48503KYMDPediatric Gastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: tgibbons16638@ukhcdirect.org

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1609966266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LEADER AVE OFC 208",
            "address_2": "DEPT. OF PEDIATRICS, DIVISION OF GASTROENTEROLOGY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405069983",
            "telephone_number": "859-218-1676",
            "fax_number": "859-257-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 LEADER AVE OFC 208",
            "address_2": "DEPT. OF PEDIATRICS, DIVISION OF GASTROENTEROLOGY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405069983",
            "telephone_number": "859-218-1676",
            "fax_number": "859-257-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "TROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AR",
            "license": "E-3162",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "KY",
            "license": "48503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146288001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.