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

Gabriel Ibarra

Individual provider Internal Medicine Physician · NPI 1851885677

Gabriel Ibarra is an Internal Medicine in Providence, Rhode Island. Qualified in 2012, 14 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
14
Licensed in
RI
In the registry since
2018

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-3985
Fax: (401) 444-3986
Show map & directions

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

Additional practice locations (1)

  • 1901 1st Ave Unit 2, New York, NY 10029-7491 — (917) 915-2506

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD17552 (RI)

Record details

NPI number1851885677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2018
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 19, 2024
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence