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GIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI 1043813454
Urology in Gibson City, IL

Active since November 18, 2020
1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-2212(217) 784-2572 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2026, Jul 7, 2022, Nov 18, 2020 (3 updates tracked since 2020).

About Gibson Community Hospital Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIBSON COMMUNITY HOSPITAL ASSOCIATION (NPI 1043813454), doing business as Gah Ent And Urology, is a healthcare organization registered as an urology in Gibson City, Illinois and active in the NPI registry since November 2020. The organization lists Matthew Ertel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1043813454
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION
Location Address1120 N MELVIN STGibson City, IL 60936-1477
Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251 · Fax (217) 784-5853
Phone(217) 784-2212
Fax(217) 784-2572
Organization SubpartYes
Authorized OfficialMatthew ErtelChief Financial Officer · (217) 784-2601
Enumeration DateNovember 18, 2020
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1043813454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1120 N MELVIN ST, Gibson City, IL 60936
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Other Names 2

Doing Business AsGah Ent And Urology
Doing Business AsGibson Area Hospital Urology Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gibson Community Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

208

Medicare enrollment records show 208 clinicians reassign Medicare billing to Gibson Community Hospital Association, which bills Medicare for the services they deliver. Of these, 26 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Diagnostic Radiology55
Nurse Practitioner40
Family Practice15
Certified Registered Nurse Anesthetist (CRNA)14
Clinical Social Worker10
Orthopedic Surgery7
Emergency Medicine5
General Surgery5
28 other specialties57

Nearest to this location (20)

See all 208
Kareem Alazem, MD
Urology
NPI 1821448408
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Omar Ali, DMD
Dentist
NPI 1649757386
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOSSame address
Danya Alzein, DMD
Dentist
NPI 1235971599
1120 N MELVIN ST
Gibson City, IL 60936
(708) 420-4072
✔ PECOSSame address
Heidi Bahan, MS CCC SLP
Qualified Speech Language Pathologist
NPI 1295524221
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Surekha Boddipalli, M.D.
Hematology/Oncology
NPI 1255656948
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2332
✔ PECOS✔ Accepts MedicareSame address
Caroline Bryan, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457217580
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOSSame address
Jesse Butler, M.D.
Orthopedic Surgery
NPI 1205888385
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4340
✔ PECOS✔ Accepts MedicareSame address
Jennifer Casey, APN
Certified Clinical Nurse Specialist (CNS)
NPI 1982029856
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-5221
✔ PECOS✔ Accepts MedicareSame address
Stephanie Coffey, NP
Nurse Practitioner
NPI 1801375415
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Katelyn Curry, RDN, LDN
Registered Dietitian or Nutrition Professional
NPI 1487445730
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Dritan Dragu, MD
Diagnostic Radiology
NPI 1750720843
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Jonathan Glickstein, MD
Otolaryngology
NPI 1598983371
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Emily Kosen, FNP-BC
Nurse Practitioner
NPI 1134815780
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4297
✔ PECOS✔ Accepts MedicareSame address
Cynthia Lee, LCSW
Clinical Social Worker
NPI 1033120514
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4540
✔ PECOS✔ Accepts MedicareSame address
Kimberly Nelson Rusch, CCC SLP
Qualified Speech Language Pathologist
NPI 1861826448
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Thomas Nolan, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477592137
1120 N MELVIN ST
Gibson, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Monica O'neill, LCSW
Clinical Social Worker
NPI 1073314902
1120 N MELVIN ST
Gibson City, IL 60936
(219) 863-8531
✔ PECOS✔ Accepts MedicareSame address
Adam Pena, MD
Urology
NPI 1447875224
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Subbiah Rajaguru, M.D.
Cardiac Electrophysiology
NPI 1366450678
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2273
✔ PECOS✔ Accepts MedicareSame address
Jennifer Sterrenberg
Occupational Therapist in Private Practice
NPI 1174059646
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
See all 208 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gibson Community Hospital Association's NPI number?

The NPI number for Gibson Community Hospital Association is 1043813454. It was assigned to this organization in the NPPES registry on November 18, 2020. The provider is doing business as GAH ENT and Urology and Gibson Area Hospital Urology Clinic.

Where is Gibson Community Hospital Association located?

Gibson Community Hospital Association is located at 1120 N Melvin St, Gibson City, IL 60936. The listed phone number is (217) 784-2212.

What is Gibson Community Hospital Association's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Gibson Community Hospital Association enrolled in Medicare?

Yes. Gibson Community Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gibson Community Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 208 clinicians in 36 Medicare specialties reassign their Medicare billing to Gibson Community Hospital Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (55), Nurse Practitioner (40) and Family Practice (15). Of these, 26 practice at this address and 55 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gibson Community Hospital Association was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.