JOHN GABRIEL MAIJUB MD NPI 1467776013

NPI Information

  • NPI: 1467776013
  • Provider Name: JOHN GABRIEL MAIJUB, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2651 E DISCOVERY PKWY
    BLOOMINGTON, IN
    ZIP 47408
  • Phone: (812) 355-6900

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NPI Details

John Gabriel Maijub, MD is a vascular surgery surgery in Bloomington, IN with 15 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. John Gabriel Maijub, MD NPI is 1467776013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2010

The provider's business location address is:

2651 E DISCOVERY PKWY
BLOOMINGTON, IN
ZIP 47408-059
Phone: (812) 355-6900
Fax: (812) 339-1292

The NPI 1467776013 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Spinal fusion (HCPCS:NAN02)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 3/24/2010 and was last updated on 12/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery01080143AINDIANANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32086S0129XSurgeryVascular Surgery01080143AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P02093002OTHERINDIANARAILROAD PTAN
2090540925OTHERINDIANAMEDICARE PTAN
3300017820MEDICAIDINDIANA
4273010006OTHERINDIANAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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