ALITHEA DOLORES GABRELLAS MD
NPI 1568780641
Internal Medicine - Infectious Disease in Fort Defiance, AZ

Active since May 13, 2010PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 28, 2025, Aug 7, 2025, Feb 14, 2023 and 1 more (4 updates tracked since 2020).

About Alithea Dolores Gabrellas Md NPPES

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

ALITHEA DOLORES GABRELLAS MD (NPI 1568780641) is an individual infectious disease provider in Fort Defiance, Arizona, licensed in New Mexico (MD2020-0290) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2010).

NPPES Registry Identity

NPI1568780641
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameALITHEA DOLORES GABRELLASCredential: MD
Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504
Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649 · (928) 729-8000
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2010
Enumeration DateMay 13, 2010
Last NPPES UpdateNovember 28, 20254 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
✔ NPI 1568780641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NM · MD2020-0290
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alithea Dolores Gabrellas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608019948
PECOS Enrollment IDI20130905000414
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Alithea Gabrellas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group
Public Health, Federal
007 CHOOSGAI DRIVE
Tohatchi, NM 87325
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Nurse Practitioner (Family)
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Dietitian, Registered
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Physician Assistant
CORNER OF ROUTE N12 AND N7, CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Physical Therapist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

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 Alithea Gabrellas's NPI number?

The NPI number for Alithea Gabrellas is 1568780641. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is Alithea Gabrellas located?

Alithea Gabrellas practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.

What is Alithea Gabrellas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Alithea Gabrellas enrolled in Medicare?

Yes. Alithea Gabrellas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alithea Gabrellas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alithea Gabrellas reassigns Medicare benefits to 2 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ) and Dhhs, Phs, Naihs, Gallup Indian Medical Center (Tohatchi, NM). Each 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 Alithea Gabrellas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alithea Gabrellas was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.