Active NPI
Aleah Pendergraff Gibson, M.D.
- Family Medicine Physician
- Greendale, IN
National Provider Identifier
1780792903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01062453A
- Practice address
- 1640 Flossie Dr
Greendale, IN 47025-8424 - Phone
- (877) 670-7264
- Fax
- (812) 539-1824
- NPI assigned
- Aug 28, 2006
- Last updated
- Sep 29, 2026
- 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 | 01062453A | IN | Primary |
Addresses
Primary practice location
1640 Flossie Dr
Greendale, IN 47025-8424
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (877) 670-7264
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64126824 | Medicaid | KY | |
| P00370136 | Other | IN | RR MEDICARE |
| 200834290 | Medicaid | IN |
Other names 1
- Aleah P McKinney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- University of Louisville School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1640 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 496-3285
Hospital & facility affiliations
- St Elizabeth Home Care Services
- Loving Hearts Hospice and Palliative Care LLC
- St Elizabeth Edgewood
- St Elizabeth Dearborn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062453A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- agibson187019@direct-prd.stelizabeth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Elizabeth Physicians Behavioral Health
- Psychiatry Physician
- Erlanger, KY
- NPI 1508287640
Family Medicine, IN
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Batesville, IN
- NPI 1003292863
-
dba St Elizabeth Dearborn
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
-
dba St. Elizabeth Home Care
- Home Health Agency
- Lawrenceburg, IN
- NPI 1437756822
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1780792903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "877-670-7264",
"fax_number": "812-539-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 FLOSSIE DR",
"city": "GREENDALE",
"state": "IN",
"postal_code": "470258424",
"telephone_number": "877-670-7264",
"fax_number": "812-539-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ALEAH",
"middle_name": "PENDERGRAFF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2026-09-29",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01062453A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64126824",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00370136",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200834290",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEAH",
"last_name": "MCKINNEY",
"middle_name": "P",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greendale, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.