Active NPI
John D. Gelin, M.D.
- Family Medicine Physician
- Floral City, FL
National Provider Identifier
1104859289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME24036
- Practice address
- 7648 S Florida Ave
Floral City, FL 34436-2738 - Phone
- (352) 726-3700
- Fax
- (352) 726-8570
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME24036 | FL | Primary |
Addresses
Primary practice location
7648 S Florida Ave
Floral City, FL 34436-2738
Mailing address
7648 S Florida Ave
Floral City, FL 34436-2738
Phone (352) 726-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104859289 | Other | FL | NPI |
| 035931900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240516001728 | FL | Order and Referring Only - Family Practice | 1456482355 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME24036 | FL | MD | Family Medicine Physician |
Interoperability endpoints
- john.gelin@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1104859289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7648 S FLORIDA AVE",
"city": "FLORAL CITY",
"state": "FL",
"postal_code": "344362738",
"telephone_number": "352-726-3700",
"fax_number": "352-726-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7648 S FLORIDA AVE",
"city": "FLORAL CITY",
"state": "FL",
"postal_code": "344362738",
"telephone_number": "352-726-3700",
"fax_number": "352-726-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELIN",
"first_name": "JOHN",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME24036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1104859289",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035931900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Floral City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.