Active NPI
Donald L Gibbens, MD
- Obstetrics Physician
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 17224
- Practice address
- 1600 S 48TH St
Suite 400
Lincoln, NE 68506-1275 - Phone
- (402) 475-8877
- Fax
- (402) 475-8941
- NPI assigned
- Aug 16, 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 17224 | NE | Primary |
Addresses
Primary practice location
1600 S 48TH St
Suite 400
Lincoln, NE 68506-1275
Mailing address
1600 S 48TH St
Suite 400
Lincoln, NE 68506-1275
Phone (402) 475-8877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03304 | Other | NE | BLUE CROSS BLUE SHIELD |
| 410352176-13 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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
- Obstetrics/Gynecology
- Education
- University of Nebraska College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S 48TH St
Lincoln, NE 68506-1299
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
5055 A St
Lincoln, NE 68510-4970
Hospital & facility affiliations
- Bryan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients |
Locations
2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
5055 A St
Ste 200
Lincoln, NE 68510
Phone (402) 483-8630
1600 S 48th St
Ste 400
Lincoln, NE 68506
Phone (402) 475-8877
Interoperability endpoints
- dgibbens13571@hisp.bryanhealth.org
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821101718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S 48TH ST",
"address_2": "SUITE 400",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061275",
"telephone_number": "402-475-8877",
"fax_number": "402-475-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S 48TH ST",
"address_2": "SUITE 400",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061275",
"telephone_number": "402-475-8877",
"fax_number": "402-475-8941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBENS",
"first_name": "DONALD",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NE",
"license": "17224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "03304",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410352176-13",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.