Active NPI
Gael Glenn Kabell, MD
- Clinical Cardiac Electrophysiology Physician
- Kalamazoo, MI
National Provider Identifier
1720053010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 4301052450
- Practice address
- 1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633 - Phone
- (269) 381-3963
- Fax
- (269) 381-2809
- NPI assigned
- Feb 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 4301052450 | MI | Primary |
Addresses
Primary practice location
1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Mailing address
1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone (269) 381-3963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4524732 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Care P C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1487696589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720053010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 SHAFFER ST",
"address_2": "SUITE 1",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481633",
"telephone_number": "269-381-3963",
"fax_number": "269-381-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 SHAFFER ST",
"address_2": "SUITE 1",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481633",
"telephone_number": "269-381-3963",
"fax_number": "269-381-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABELL",
"first_name": "GAEL",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "4301052450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4524732",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.