Organization Active NPI

Home Physicians Group LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1063224756
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOME PHYSICIANS GROUP LLC
Practice address
12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone
(321) 235-0692
Fax
(321) 235-0694
NPI assigned
Jan 21, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Gabriel Nuriel, DONPI 1821168972
Title
Ceo
Phone
(321) 235-0692

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511

Mailing address

12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone (321) 235-0692

Other practice location 1

450 N McDonald Ave
Deland, FL 32724-3634
Phone (321) 235-0692

Other practice location 2

12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone (321) 235-0692

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627000952 FL Part B Supplier - Clinic/Group Practice 9739692328 Receives reassigned benefits from 12 practitioners
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2328856Home Physicians Group450 N McDonald Ave, Deland, FL 32724Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Locations

12301 Lake Underhill Rd
Ste 257
Orlando, FL 32828

Practitioners & affiliated clinicians

Practitioners 12

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": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1063224756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284511",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284511",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N McDonald Ave",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327243634",
            "country_code": "US",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12301 Lake Underhill Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328284511",
            "country_code": "US",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOME PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "NURIEL",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-235-0692",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.