Organization Active NPI

Gabriel M Deschamps MD PA

  • Internal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1033138086
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME76219 Issued in FL
Legal business name
GABRIEL M DESCHAMPS MD PA
Practice address
2735 Ponce de Leon Blvd
Coral Gables, FL 33134-6004
Phone
(305) 447-4923
Fax
(305) 447-8638
NPI assigned
Jul 19, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gabriel Deschamps, MD PANPI 1538157409
Title
MD
Phone
(305) 447-4923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME76219 FL Primary

Addresses

Primary practice location

2735 Ponce de Leon Blvd
Coral Gables, FL 33134-6004

Mailing address

2735 Ponce de Leon Blvd
Coral Gables, FL 33134-6004
Phone (305) 447-4923

Other identifiers 1

IdentifierTypeStateIssuer
254835600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000313 FL Part B Supplier - Clinic/Group Practice 8628043510 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Locations

2735 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 447-4923

2541 SW 27th Ave
Ste 201
Miami, FL 33133
Phone (305) 558-0021

6161 Sunset Dr
Ste C
South Miami, FL 33143
Phone (305) 447-4923

7000 SW 62nd Ave
Ste 215
South Miami, FL 33143

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1033138086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346004",
            "telephone_number": "305-447-4923",
            "fax_number": "305-447-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346004",
            "telephone_number": "305-447-4923",
            "fax_number": "305-447-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL M DESCHAMPS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "DESCHAMPS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-447-4923",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254835600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.