Maria V Gibson, MD
Family Medicine in Mesa, AZ. Individual provider (NPI-1).
NPI number1649388596
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1649388596
- Entity type
- Individual (NPI-1)
- Name
- Maria V Gibson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2006
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 53596 | AZ | Yes |
| 207Q00000X | Family Medicine | 23088 | SC |
Practice location
5916 E McKellips RdMesa, AZ 85215-2755
Phone 480-930-4477
Mailing address
5916 E McKellips RdMesa, AZ 85215-2755
Phone 480-930-4477
Other practice locations
10214 N Tatum Blvd Ste A600
Phoenix, AZ 85028
Phoenix, AZ 85028
Phone 602-406-1530 · Fax 602-406-1539
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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