Active NPI
Michael Lucas Gambill, DO
- Cardiovascular Disease Physician
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0102201784
- Practice address
- 400 Sentara Cir Ste 320
Williamsburg, VA 23188-5716 - Phone
- (757) 345-4800
- NPI assigned
- Sep 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102201784 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | 0102201784 | VA | Primary |
Addresses
Primary practice location
400 Sentara Cir Ste 320
Williamsburg, VA 23188-5716
Mailing address
400 Sentara Cir Ste 320
Williamsburg, VA 23188-5716
Phone (757) 345-4800
Other practice location 1
612 Kingsborough Sq
ste 100
Chesapeake, VA 23320-5041
Phone (757) 547-9294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Philadelphia College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 Sentara Cir
320 Sentara Cardiology Specialists
Williamsburg, VA 23188-5716
Phone (757) 345-4800
Hospital & facility affiliations
- Sentara Obici Hospital
- Sentara Princess Anne Hospital
- Sentara Norfolk General Hospital
- Sentara Virginia Beach General Hospital
- Bon Secours Maryview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201784 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Innovation Cardiology Group LLC | Cardiovascular Disease | Current | Accepting new patients |
| Bayview Physician Services, PC | Internal Medicine | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2075 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 821-2825
1708 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 395-5300
400 Sentara Cir
Ste 320
Williamsburg, VA 23188
Phone (757) 345-4300
Interoperability endpoints
- mgambill158052@direct.sentara.net
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
Internal Medicine
-
- Cardiovascular Disease Physician
- Norfolk, VA
- NPI 1104464577
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
VA
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1679769202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SENTARA CIR STE 320",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885716",
"telephone_number": "757-345-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SENTARA CIR STE 320",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885716",
"telephone_number": "757-345-4800"
}
],
"practiceLocations": [
{
"address_1": "612 Kingsborough Sq",
"address_2": "ste 100",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233205041",
"country_code": "US",
"telephone_number": "757-547-9294",
"fax_number": "757-213-9342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMBILL",
"first_name": "MICHAEL",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-18",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102201784",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0102201784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.