DR. GABRIEL GREGORY SOBCZAK MD
NPI 1780265165
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Gabriel Sobczak's NPI number?

The NPI number for Gabriel Sobczak is 1780265165. It was assigned to this individual provider in the NPPES registry on April 18, 2021.

Q: What is Gabriel Sobczak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gabriel Sobczak was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 18, 2021PECOS Enrolled

1130 W MICHIGAN ST # FH400, INDIANAPOLIS, IN 46202(317) 278-1258(317) 274-8285 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Apr 18, 2021 (2 updates tracked since 2021).

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About Dr. Gabriel Gregory Sobczak Md NPPES

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

DR. GABRIEL GREGORY SOBCZAK MD (NPI 1780265165) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1780265165

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. GABRIEL GREGORY SOBCZAKCredential: MD

Location Address1130 W MICHIGAN ST # FH400Indianapolis, IN 46202-5209

Mailing Address1130 W Michigan St # Fh400Indianapolis, IN 46202-5209 · (317) 278-1258 · Fax (317) 274-8285

Phone(317) 278-1258

Fax(317) 274-8285

Sole ProprietorNo

Enumeration DateApril 18, 2021

Last NPPES UpdateApril 6, 20222 updates tracked since enumeration

NPPES CertifiedApril 6, 2022

✔ NPI 1780265165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1130 W MICHIGAN ST # FH400, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 1750 Highland AveMadison, WI 53705-2221 · Phone (608) 263-4920

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gabriel Gregory Sobczak Md 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 6

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

DR. CHAD ALEXANDER PURCELL MD, FRCSC

Student in an Organized Health Care Education/Training Program