OrganizationActive
Gabriels Pride Pediatrics
NPI 1124285028 · Pediatrics Physician · Ofallon, IL
Gabriels Pride Pediatrics is a Pediatrics Physician organization in Ofallon, IL (NPI 1124285028).
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(88/100 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
Frequently asked questions
- What is Gabriels Pride Pediatrics's NPI number?
- Gabriels Pride Pediatrics's National Provider Identifier (NPI) is 1124285028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gabriels Pride Pediatrics?
- Gabriels Pride Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Gabriels Pride Pediatrics located?
- Gabriels Pride Pediatrics's practice location on file with NPPES is 1337 Park Plaza Drive, Ofallon, IL 62269-1777.
- What is Gabriels Pride Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Gabriels Pride Pediatrics is (618) 624-7391.
- Who is the authorized official for Gabriels Pride Pediatrics?
- The authorized official listed on Gabriels Pride Pediatrics's NPPES record is Thomas Levvaulh, MD President Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gabriels Pride Pediatrics's NPI active?
- Yes — Gabriels Pride Pediatrics's NPI (1124285028) is active in the NPPES registry as of the last update on 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.