MAYA GIBSON
NPI 1669058459
Pediatrics - Pediatric Critical Care Medicine in Washington, DC

Active since March 22, 2021PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5694(202) 476-4741 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, Jun 29, 2021, Jun 23, 2021 and 1 more (4 updates tracked since 2021).

About Maya Gibson NPPES

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

MAYA GIBSON (NPI 1669058459) is an individual pediatric critical care medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD500002921) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669058459
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMAYA GIBSON
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address111 Michigan Ave, 3.5 West Wing, Room 700Washington, DC 20010-2916 · (202) 476-5694 · Fax (202) 476-4741
Fax(202) 476-4741
Sole ProprietorYes
Enumeration DateMarch 22, 2021
Last NPPES UpdateJuly 16, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1669058459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in DC · MD500002921
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 2021023973 (MO), 94-10549 (KS)
111 MICHIGAN AVE NW, Washington, DC 20010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Maya Gibson's NPI number?

The NPI number for Maya Gibson is 1669058459. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Maya Gibson located?

Maya Gibson practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5694.

What is Maya Gibson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Maya Gibson enrolled in Medicare?

Yes. Maya Gibson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maya Gibson was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.