ALEAH PENDERGRAFF GIBSON M.D. NPI 1780792903

NPI Information

  • NPI: 1780792903
  • Provider Name: ALEAH PENDERGRAFF GIBSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1640 FLOSSIE DR
    GREENDALE, IN
    ZIP 47025
  • Phone: (877) 670-7264

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NPI Details

Aleah Pendergraff Gibson, M.D. is a family medicine in Greendale, IN with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Aleah Pendergraff Gibson, M.D. NPI is 1780792903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1640 FLOSSIE DR
GREENDALE, IN
ZIP 47025-424
Phone: (877) 670-7264
Fax: (812) 539-1824

The NPI 1780792903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Photography of the retina (HCPCS:92250)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 8/28/2006 and was last updated on 2/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine01062453AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200834290MEDICAIDINDIANA
264126824MEDICAIDKENTUCKY
3P00370136OTHERINDIANARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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