Kirsten Rosetta Gambrell, M.D,

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

T-2430 Issued in MS

Practice address

2500 N State St
Department of Surgery
Jackson, MS 39216-4500

Phone

(769) 226-2525

NPI assigned

Jul 4, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, MS, TN3 enrollments

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 3

Specialty

General Surgery

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgambrell28429@mlh.direct-ci.com

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.

• East Jefferson Physicians Group LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1922293372

  LA

  Medicare reassignment Care Compare group NPD
• Ut Methodist Physicians LLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1427317908

  MS, Surgery, TN

  Medicare reassignment NPD
• Metairie Physician Services Inc.

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1801233648
  NPD (past)
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527
  NPD (past)
• Ut Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Memphis, TN
  • NPI 1780676650

  Surgery

  NPD (past)

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

• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1730476367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 HOWARD ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021325",
            "telephone_number": "769-226-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "769-226-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4240 Bethel Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386548737",
            "country_code": "US",
            "telephone_number": "901-758-7970",
            "fax_number": "901-266-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Eastmoreland Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047544",
            "country_code": "US",
            "telephone_number": "901-758-7970",
            "fax_number": "901-266-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBRELL",
        "first_name": "KIRSTEN",
        "middle_name": "ROSETTA",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "T-2430",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "70317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Galli, M.D.
• Byron Galloway, LMFT
• Kevin L Galloway V, DO
• Abigail Gamble, PHD, MS
• Antonio Gamble
• Deep Asit Gandhi, MD
• Christie L. Gandy, NP
• David John Gandy, M.D.
• Stephen R Gandy, DMD
• Shreyas Gangadhara, M.D.

• All providers in Jackson, MS
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.

Verify at the official NPI Registry.