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

Mitchell S Gibbons

Individual provider Dermatology Physician · NPI 1871116210

Mitchell S Gibbons is a Dermatology in Overland Park, Kansas. Graduated from Saint Louis University School of Medicine in 2020, 6 years ago. Practices with Blue Valley Dermatology LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Iowa and Kansas.

Years since qualifying
6
Trained at
Saint Louis University School of Medicine
Licensed in
IA, KS
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

7520 W 160th St Ste 100
Overland Park, KS 66085-8137
Phone: (913) 871-8221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 04-48713 (KS)
Dermatology Physician Taxonomy 207N00000X · Licence R-11831 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence R-11831 (IA)

Record details

NPI number1871116210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2020
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address200 Hawkins Dr, Iowa City, IA 52242-1009

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Blue Valley Dermatology Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Overland Park