Individual provider Active NPI

Michael W Gibbs, MD

  • Family Medicine Physician
  • Barboursville, WV
National Provider Identifier
1720048333
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16149 Issued in WV
Practice address
4 Chateau LN
Barboursville, WV 25504-1626
Phone
(304) 736-4000
Fax
(304) 736-4751
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 16149 WV Primary

Addresses

Primary practice location

4 Chateau LN
Barboursville, WV 25504-1626

Mailing address

1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2000

Other identifiers 2

IdentifierTypeStateIssuer
0054296000MedicaidWV
7338241OtherWVMEDICARE PIN - CABELL HUNTINGTON HOSPITAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040505000010 WV Practitioner - Family PracticePractitioner - Sports Medicine 3577551845 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cabell Huntington Hospital Inc CurrentSince Dec 15, 2004 Accepting new patients
Cabell Huntington Hospital Inc Current Accepting new patients
Cabell Huntington Hospital, Inc CurrentSince Dec 15, 2004 Accepting new patients
Lincoln County Primary Care Center, Inc Past Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

4 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-4000

1340 Hal Greer Blvd
Fl 4
Huntington, WV 25701
Phone (304) 526-6387

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1623 13th Ave
Ste 2
Huntington, WV 25701
Phone (304) 399-2990

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

1600 Medical Center Dr
Huntington, WV 25701
Phone (304) 691-1100

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720048333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013800",
            "telephone_number": "304-526-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CHATEAU LN",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041626",
            "telephone_number": "304-736-4000",
            "fax_number": "304-736-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "16149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054296000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN - CABELL HUNTINGTON HOSPITAL",
            "identifier": "7338241",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.