David Lee Gilbertson, D.O.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

18265 Issued in MN

Practice address

17645 Juniper Path Ste 155
Lakeville, MN 55044-7577

Phone

(952) 898-1022

Fax

(952) 898-4006

NPI assigned

Aug 19, 2006

Last updated

May 10, 2024By the provider in NPPES

Sex

Male

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 MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Minnesota Hospice LLC

  • Community Based Hospice Care Agency
  • Lakeville, MN
  • NPI 1891066239

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• David L. Gilbertson, DO, PA

  dba St Anthony Park Clinic

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1265547533
  NPD (past) Authorized official
• Minnesota Hospice LLC

  • Community Based Hospice Care Agency
  • Lakeville, MN
  • NPI 1891066239

  Family Medicine

  NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1962516575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081723",
            "telephone_number": "651-646-2549",
            "fax_number": "651-646-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17645 JUNIPER PATH STE 155",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447577",
            "telephone_number": "952-898-1022",
            "fax_number": "952-898-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "18265",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MN",
            "license": "18265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Gerlach, PT
• Robbin Dale Ghere, PA-C
• Alyssa Ann Gibbons, PHARMD
• Audrey Gibson
• Brenda Marie Gilbertson, RN
• Brooke Elizabeth Giles, DC
• Taner Leon Gimberlin, DC
• Glacier Lake Dental P a
• James Matthew Glogowski, CRNA
• Halley Rose Gluckman-Fine, PT

• Hospice and Palliative Medicine (Internal Medicine) Physician in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.