GIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI 1114507753
Internal Medicine - Pulmonary Disease in Gibson City, IL

Active since April 08, 2021
1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-2212(217) 784-2572 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Jul 7, 2022, Apr 8, 2021 (3 updates tracked since 2021).

About Gibson Community Hospital Association NPPES

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

GIBSON COMMUNITY HOSPITAL ASSOCIATION (NPI 1114507753), doing business as Gah Pulmonology, is a healthcare organization registered as a pulmonary disease in Gibson City, Illinois and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Gibson City and lists Matthew Ertel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114507753
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION
Location Address1120 N MELVIN STGibson City, IL 60936-1477
Mailing Address1120 N Melvin StGibson City, IL 60936-1477
Fax(217) 784-2572
Organization SubpartYes
Authorized OfficialMatthew ErtelCfo · (217) 784-2601
Enumeration DateApril 8, 2021
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1114507753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1120 N MELVIN ST, Gibson City, IL 60936

Other Names 2

Doing Business AsGah Pulmonology
Doing Business AsGibson Area Hospital Pulmonology Clinic

Secondary Practice Location 1

Location 17 Doctors ParkGibson City, IL 60936-2000 · Phone (217) 784-5500 · Fax (217) 784-4106

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
Urology
NPI 1821448408
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1649757386
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOSSame address
Dentist
NPI 1235971599
1120 N MELVIN ST
Gibson City, IL 60936
(708) 420-4072
✔ PECOSSame address
Qualified Speech Language Pathologist
NPI 1295524221
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Hematology/Oncology
NPI 1255656948
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2332
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457217580
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOSSame address
Orthopedic Surgery
NPI 1205888385
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4340
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1982029856
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-5221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801375415
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1487445730
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Diagnostic Radiology
NPI 1750720843
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1598983371
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134815780
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4297
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1033120514
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4540
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1861826448
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477592137
1120 N MELVIN ST
Gibson, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1073314902
1120 N MELVIN ST
Gibson City, IL 60936
(219) 863-8531
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1447875224
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1366450678
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2273
✔ PECOS✔ Accepts MedicareSame address
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 1114507753. It was assigned to this organization in the NPPES registry on April 8, 2021. The provider is doing business as GAH Pulmonology and Gibson Area Hospital Pulmonology 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 Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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 February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.