Peter Gobar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME124199 Issued in FL

Practice address

5503 S Congress Ave
Suite 205
Atlantis, FL 33462-6625

Phone

(561) 964-7511

Fax

(561) 964-7544

NPI assigned

Dec 16, 2005

Last updated

Jun 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

University of Kentucky College of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Stedfast Medical Services LLCGroup PAC ID 4981000999, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stedfast Medical Services LLC

  • Psychiatry Physician
  • Palm Beach Gardens, FL
  • NPI 1508438284
  Medicare reassignment Care Compare group NPD
• Innovative Psychological Consultants, LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Maple Grove, MN
  • NPI 1942221080
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1164408761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE",
            "address_2": "SUITE 205",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626625",
            "telephone_number": "561-964-7511",
            "fax_number": "561-964-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE",
            "address_2": "SUITE 205",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626625",
            "telephone_number": "561-964-7511",
            "fax_number": "561-964-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBAR",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "47656",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME124199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gi Alliance Anesthesia of Florida, PLLC
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• Eric Ginsberg, DO
• Yakov Ilich Gitin, MD
• Adam M Gittleman, MD
• James N Goldenberg, MD
• Mark Goldstein, MD
• Camilla Gomes Xavier Holland
• Joel P Gordon, MD
• Dyann Joy Gormezano, M.D.

• Psychiatry Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.
• 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.