Individual provider Active NPI

Herman Gabriel Gaztambide-Rodriguez, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Ocoee, FL
National Provider Identifier
1164735502
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME132664 Issued in FL
Practice address
10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone
(321) 841-7856
Fax
(321) 842-0436
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101263170 VA
Pulmonary Disease Physician 207RP1001X 0101263170 VA
Pulmonary Disease Physician 207RP1001X ME132664 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME132664 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr
Ocoee, FL 34761-3400

Mailing address

10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (321) 841-7856

Other practice location 1

12200 Warwick Blvd Ste 210&290
Newport News, VA 23601-2344
Phone (575) 345-4547

Other practice location 2

1213 E Clay St
Richmond, VA 23298-5071
Phone (804) 828-9071

Other practice location 3

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 828-4635

Other identifiers 1

IdentifierTypeStateIssuer
021124800MedicaidFL

Other names 1

  • Dr. Herman Gabriel Gaztambide Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170619001020 FL Practitioner - Pulmonary Disease 7517185135 Reassigns benefits to 3 organizations
I20231115003943 VA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7517185135
I20240430004276 NC Practitioner - Internal Medicine 7517185135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

86 W Underwood St
Orlando, FL 32806-1110
Phone (407) 896-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132664FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Trinity Regional Medical Center CurrentSince Sep 11, 2023 Accepting new patients
Trinity Medical Center Critical Care Medicine CurrentSince Sep 11, 2023 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Jan 29, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 8, 2017 Accepting new patients
Orlando Health Medical Group Inc Critical Care Medicine CurrentSince May 8, 2017 Accepting new patients

Locations

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hgaztambiderodriguezmd399953@carlehiedirect.net
  • Direct secure messaging: hgaztambiderodriguez25276@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1164735502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613400",
            "telephone_number": "321-841-7856",
            "fax_number": "321-842-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613400",
            "telephone_number": "321-841-7856",
            "fax_number": "321-842-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Warwick Blvd Ste 210&290",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "575-345-4547",
            "fax_number": "757-534-5491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 E Clay St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985071",
            "country_code": "US",
            "telephone_number": "804-828-9071",
            "fax_number": "804-828-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-828-4635",
            "fax_number": "804-443-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAZTAMBIDE-RODRIGUEZ",
        "first_name": "HERMAN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101263170",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101263170",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME132664",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME132664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021124800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERMAN",
            "last_name": "GAZTAMBIDE",
            "middle_name": "GABRIEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.