OrganizationActive
Gabriels Pride Pediatrics
NPI 1124285028 · Pediatrics Physician · Ofallon, IL
Provider details
- NPI number
- 1124285028
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Levvaulh, MD President Owner(618) 624-7391
- License
- 036095488 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1337 Park Plaza Drive
Suite 1
Ofallon, IL 62269-1777
Phone: (618) 624-7391
Fax: (618) 624-7392
Street-level locationGet directions
Mailing address
1337 Park Plaza Drive
Ofallon, IL 62269-1777
Registry dates
- Enumerated
- 2008-05-19
- Last updated
- 2008-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.