Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlisa Deandra Gibson, MBBS

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1205102753

Charlisa Deandra Gibson, MBBS is a Pulmonary Disease in Glen Burnie, Maryland. Qualified in 2009, 17 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
17
Licensed in
MD, NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

255 Hospital Dr Fl 3
Glen Burnie, MD 21061-6356
Phone: (410) 553-8240
Fax: (410) 553-8239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 284648 (NY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence D0090376 (MD)

Record details

NPI number1205102753
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBBS
Sole proprietorYes
NPI enumeratedMarch 29, 2012
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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