Individual provider Active NPI

John D. Gelin, M.D.

  • Family Medicine Physician
  • Floral City, FL
National Provider Identifier
1104859289
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME24036 Issued in FL
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

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1104859289OtherFLNPI
035931900MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516001728 FL Order and Referring Only - Family PracticePractitioner - Family Practice 1456482355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME24036FLMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.