Individual provider Active NPI

Craig Lee Gilbertson, M.D.

  • Family Medicine Physician
  • Duluth, MN
National Provider Identifier
1669451449
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27685 Issued in MN
Practice address
26 E Superior St
Ste. 205
Duluth, MN 55802-2124
Phone
(218) 249-4300
Fax
(218) 249-4350
NPI assigned
Jan 11, 2006
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27685 MN Primary

Addresses

Primary practice location

26 E Superior St
Ste. 205
Duluth, MN 55802-2124

Mailing address

26 E Superior St
Ste. 205
Duluth, MN 55802-2124
Phone (218) 249-4300

Other identifiers 1

IdentifierTypeStateIssuer
880770100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080228000356 MN Practitioner - Family Practice 8325942493 Reassigns benefits to 1 organization
I20191008002631 WI Practitioner - Family Practice 8325942493 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Feb 3, 2024 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1001 E Superior St
Ste 401
Duluth, MN 55802
Phone (218) 249-7960

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

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, 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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1669451449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E SUPERIOR ST",
            "address_2": "STE. 205",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022124",
            "telephone_number": "218-249-4300",
            "fax_number": "218-249-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E SUPERIOR ST",
            "address_2": "STE. 205",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022124",
            "telephone_number": "218-249-4300",
            "fax_number": "218-249-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "CRAIG",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "27685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880770100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.