NPIMap

Individual provider Active NPI

Edward Martin Gaber, M.D.

  • Internal Medicine Physician
  • Mandeville, LA
National Provider Identifier
1962406298
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
011060 Issued in LA
Practice address
231 Saint Ann Dr
Ste 2
Mandeville, LA 70471-3219
Phone
(985) 624-5410
Fax
(985) 624-5490
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 011060 LA Primary

Addresses

Primary practice location

231 Saint Ann Dr
Ste 2
Mandeville, LA 70471-3219

Mailing address

231 Saint Ann Dr
Ste 2
Mandeville, LA 70471-3219
Phone (985) 624-5410

Other identifiers 2

IdentifierTypeStateIssuer
4013190OtherLAAETNA PROV #
1119156MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040527000760 LA Practitioner - Family PracticePractitioner - Internal Medicine 0143201871 Reassigns benefits to 1 organization
I20110914000474 MS Practitioner - Internal Medicine 0143201871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River GulfportGroup PAC ID 5294154829, 75 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7112

231 Saint Ann Dr
Suite 2
Mandeville, LA 70471-3476
Phone (985) 624-5410

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 818-0563

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011060LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System Internal Medicine CurrentSince Aug 22, 2011 Accepting new patients
Singing River Health System CurrentSince Aug 22, 2011 Accepting new patients
Singing River Gulfport CurrentSince Jan 10, 2022 Accepting new patients
Metairie Institute Comprehensive Health, LLC CurrentSince Oct 18, 2001 Accepting new patients
Singing River Gulfport CurrentSince Jan 10, 2022 Accepting new patients

Locations

1129 S Tyler St
Covington, LA 70433
Phone (985) 871-5420

231 Saint Ann Dr
Ste 2
Mandeville, LA 70471
Phone (985) 624-5410

3939 Houma Blvd
Ste 1
Metairie, LA 70006
Phone (504) 582-9010

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1962406298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SAINT ANN DR",
            "address_2": "STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713219",
            "telephone_number": "985-624-5410",
            "fax_number": "985-624-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SAINT ANN DR",
            "address_2": "STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713219",
            "telephone_number": "985-624-5410",
            "fax_number": "985-624-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABER",
        "first_name": "EDWARD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "011060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV #",
            "identifier": "4013190",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119156",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.