Individual provider Active NPI

Karen E McGibbon, MD

  • Family Medicine Physician
  • Lanham, MD
National Provider Identifier
1689780579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0052176 Issued in MD
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
409673800MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605001107 DE Practitioner - Family Practice 9436297702 Reassigns benefits to 1 organization

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
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

32550 Docs PL
Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302

Hospital & facility affiliations

  • Beebe Hospital Home Health Home health agency, Millsboro, DE, CCN 087023
  • Amedisys Home Health Home health agency, Georgetown, DE, CCN 087034
  • Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
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

LicenseStateTypeSpecialty
D0052176MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. CurrentSince Jun 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.