Active NPI
Karen E McGibbon, MD
- Family Medicine Physician
- Lanham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0052176
- Practice address
- 3028 Brightseat Road
#104
Lanham, MD 20706 - Phone
- (301) 772-6905
- Fax
- (301) 772-6908
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0052176 | MD | Primary |
Addresses
Primary practice location
3028 Brightseat Road
#104
Lanham, MD 20706
Mailing address
9440 Pennsylvania Avenue
#160
Upper Marlboro, MD 20772-3687
Phone (301) 599-0460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409673800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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
- Family Practice
- Education
- Howard University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
32550 Docs PL
Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302
Hospital & facility affiliations
- Beebe Hospital Home Health
- Amedisys Home Health
- Aveanna Home Healthcare
- Beebe Medical Center
- Tidalhealth Peninsula Regional, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 80 of 100
- Quality
- 62.88
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 75.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0052176 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beebe Physician Network Inc. | Current | Accepting new patients | |
| Greater Baden Medical Service Incorporated | Past | Accepting new patients | |
| Potomac Physicians PA | Family Medicine | Past | Accepting new patients |
Locations
1515 Savannah Rd
Lewes, DE 19958
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
32550 Docs Pl
Unit 1
Millville, DE 19967
Phone (302) 541-4175
Interoperability endpoints
- kmcgibbon22706@beebehealth.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
- Federally Qualified Health Center (FQHC)
- Lexington Park, MD
- NPI 1487469243
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1790706844
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
- Home Health Agency
- Georgetown, DE
- NPI 1417021700
-
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- Home Health Agency
- Milford, DE
- NPI 1487706263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689780579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9440 PENNSYLVANIA AVENUE",
"address_2": "#160",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723687",
"telephone_number": "301-599-0460",
"fax_number": "301-599-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 BRIGHTSEAT ROAD",
"address_2": "#104",
"city": "LANHAM",
"state": "MD",
"postal_code": "20706",
"telephone_number": "301-772-6905",
"fax_number": "301-772-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGIBBON",
"first_name": "KAREN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0052176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409673800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.