Individual provider Active NPI

Allen Gabriel, MD

  • Plastic Surgery Physician
  • Vancouver, WA
National Provider Identifier
1821146770
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD00049238 Issued in WA
Practice address
703 Broadway St Ste 700
Vancouver, WA 98660-3307
Phone
(360) 869-4200
NPI assigned
Jan 8, 2007
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD00049238 WA Primary
Surgery Physician 208600000X A82206 CA

Addresses

Primary practice location

703 Broadway St Ste 700
Vancouver, WA 98660-3307

Mailing address

703 Broadway St Ste 700
Vancouver, WA 98660-3307
Phone (360) 869-4200

Other identifiers 1

IdentifierTypeStateIssuer
8510059MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080812000402 WA Practitioner - Plastic and Reconstructive Surgery 7113969775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Nevada School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 Broadway St
Suite 700
Vancouver, WA 98660-3307
Phone (360) 869-4200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00049238WAMDPlastic Surgery Physician
A82206CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Gabriel MD, PLLC CurrentSince Aug 13, 2018 Accepting new patients
Columbia Anesthesia Group P S PastSince Jul 31, 2022 Accepting new patients

Locations

505 NE 87th Ave
Ste 250
Vancouver, WA 98664
Phone (360) 514-1010

703 Broadway St
Ste 700
Vancouver, WA 98660
Phone (360) 514-1020

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1821146770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BROADWAY ST STE 700",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603307",
            "telephone_number": "360-869-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BROADWAY ST STE 700",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603307",
            "telephone_number": "360-869-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00049238",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8510059",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.