ARTHUR R. GABA M.D.
NPI 1922156637
Pathology - Anatomic Pathology & Clinical Pathology in Detroit, MI

NPI Status: Active since January 08, 2007

Contact Information

2799 W GRAND BLVD
2799 WEST GRAND BOULEVARD
DETROIT, MI
ZIP 48202
Phone: (313) 916-2436

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  • Individual
  • Male
  • Years of Experience 54
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ARTHUR GABA

This page provides the complete NPI Profile along with additional information for Arthur Gaba, a provider established in Detroit, Michigan with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 54 years of experience. He graduated from Wayne State University School Of Medicine in 1972. The healthcare provider is registered in the NPI registry with number 1922156637 assigned on January 2007. The practitioner's primary taxonomy code is 207ZP0102X with license number 4301032753 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1922156637
Provider Name
ARTHUR R. GABA M.D.
Gender
Male
Entity Type
Individual
Location Address
2799 W GRAND BLVD 2799 WEST GRAND BOULEVARD DETROIT, MI 48202
Location Phone
(313) 916-2436
Mailing Address
2799 W GRAND BLVD 2799 WEST GRAND BOULEVARD DETROIT, MI 48202
Mailing Phone
(313) 916-2436
Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1972
Is Sole Proprietor?
No
Enumeration Date
01-08-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
4301032753
License State
MI
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A79172MEDICARE UPIN (02) 
AG032753OTHER (01)CHAMPUS-CHAMPUS
AG032753OTHER (01)COMMERCIAL-COMMERCIAL NUMBER

Medicare Participation & PECOS Enrollment Status

Arthur Gaba is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Arthur Gaba is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4385705664

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20081204000752

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 13 times for 13 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician

This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.

This service was performed 33 times for 33 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician

This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.

This service was performed 24 times for 24 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.57 for a new patient copayment and $25.58 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.28
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $33.57
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.35
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $25.58
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Arthur Gaba is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HENRY FORD MACOMB HOSPITAL15855 NINETEEN MILE RD
CLINTON TOWNSHIP, MI 48038
(586) 263-2300Acute Care Hospitals
HENRY FORD HEALTH HOSPITAL2799 W GRAND BLVD
DETROIT, MI 48202
(313) 916-2600Acute Care Hospitals
HENRY FORD HEALTH WYANDOTTE HOSPITAL2333 BIDDLE AVE
WYANDOTTE, MI 48192
(734) 246-6000Acute Care Hospitals

Reviews for ARTHUR R. GABA M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922156637
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942251266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 5 + 1 + 2 + 6 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1922156637 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. AMY B DECKER MS, CGC

Genetic Counselor, MS

2799 W GRAND BLVD
MEDICAL GENETICS CFP-4
DETROIT, MI
ZIP 48202

(313) 916-1303

CLARA TAPANINEN NP

Nurse Practitioner

(Women's Health)

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202

(313) 916-5445

DR. DAVID J. VANGURA MD

Anesthesiology

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202

(313) 916-2600

DR. KRISTIN G. MONAGHAN PH.D.

Medical Genetics

(Clinical Molecular Genetics)

2799 W GRAND BLVD
CFP 4
DETROIT, MI
ZIP 48202

(313) 916-3188

HENRY FORD HEALTH SYSTEM

Durable Medical Equipment & Medical Supplies

(Oxygen Equipment & Supplies)

2799 W GRAND BLVD
WP-1102A
DETROIT, MI
ZIP 48202

(313) 916-2927

IMRAN KHALID M.D.

Internal Medicine

2799 W GRAND BLVD
K-17
DETROIT, MI
ZIP 48202

(313) 705-2186

DR. GARY STEVEN ASSARIAN D.O.

Pathology

(Anatomic Pathology & Clinical Pathology)

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202

(248) 358-4510

DR. DAVID J KASTAN M.D.

Radiology

(Diagnostic Radiology)

2799 W GRAND BLVD
HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI
ZIP 48202

(313) 916-7425

JESSICA LYNN STAMATIS PAC

Physician Assistant

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202

(313) 916-2600

ALLISON JANE WEINMANN MD

Internal Medicine

(Infectious Disease)

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202

(313) 874-6764

DR. RACHEL B. HULEN M.D.

Radiology

(Diagnostic Radiology)

2799 W GRAND BLVD
DEPT OF DIAGNOSTIC RADIOLOGY
DETROIT, MI
ZIP 48202

(313) 916-7425

DR. ANDREAS SIDIROPOULOS M.D., PH.D.

Psychiatry & Neurology

(Psychiatry)

2799 W GRAND BLVD
DEPARTMENT OF BEHAVORIAL HEALTH
DETROIT, MI
ZIP 48202

(313) 874-6877

DR. DAVID A. CRANDALL M.D.

Ophthalmology

2799 W GRAND BLVD
EYE CARE SERVICES
DETROIT, MI
ZIP 48202

(313) 874-9167

DR. THEODORE WILLIAM PARSONS III M.D,.

Orthopaedic Surgery

2799 W GRAND BLVD
DEPARTMENT OF ORTHOPAEDIC SURGERY CFP-6
DETROIT, MI
ZIP 48202

(313) 916-3879

HENRY FORD HEALTH SYSTEM

Clinic/Center

(End-Stage Renal Disease (ESRD) Treatment)

2799 W GRAND BLVD
FIRST FLOOR
DETROIT, MI
ZIP 48202

(313) 916-7080

DR. MURRAY DALE CHRISTIANSON M.D., F.R.C.S.(C),

Ophthalmology

2799 W GRAND BLVD
HENRY FORD HOSPITAL, K-10
DETROIT, MI
ZIP 48202

(313) 916-3730

MS. GINGER ANN ST JOHN LMSW

Social Worker

(Clinical)

2799 W GRAND BLVD
K-16
DETROIT, MI
ZIP 48202

(313) 916-1154

DR. ANNA L LUKOWSKI M.D.

Internal Medicine

2799 W GRAND BLVD
DEPARTMENT OF INTERNAL MEDICINE
DETROIT, MI
ZIP 48202

(313) 916-1828

DR. ALLEN YUDOVICH M.D.

Internal Medicine

(Gastroenterology)

2799 W GRAND BLVD
DEPARTMENT OF GASTROENTEROLOGY
DETROIT, MI
ZIP 48202

(313) 916-4021

DR. ESHEL S TURK M.D.

Family Medicine

2799 W GRAND BLVD
DEPARTMENT OF FAMILY MEDICINE
DETROIT, MI
ZIP 48202

(313) 916-8319

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922156637, enumerated as an "individual" on January 08, 2007.

The provider is located at 2799 W GRAND BLVD 2799 WEST GRAND BOULEVARD DETROIT, MI 48202 and the phone number is (313) 916-2436.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Arthur Gaba is affiliated with: HENRY FORD MACOMB HOSPITAL, HENRY FORD HEALTH HOSPITAL and HENRY FORD HEALTH WYANDOTTE HOSPITAL.