Individual provider Active NPI

Gabriel M. Youssef, M.D.

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1174974950
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME146577 Issued in FL
Practice address
21550 Angela LN
Venice, FL 34293-2017
Phone
(941) 493-7400
Fax
(941) 493-1490
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 ME146577 FL Primary

Addresses

Primary practice location

21550 Angela LN
Venice, FL 34293-2017

Mailing address

900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552

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
I20230508001037 FL Practitioner - Family Practice 7214215326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

21550 Angela LN
Venice, FL 34293-2017
Phone (941) 493-7400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME146577FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jun 1, 2023 Accepting new patients
Urgent Care Clinic of Lincoln, P.C. CurrentSince Nov 26, 2018 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince Jun 1, 2023 Accepting new patients
Vein Clinics of Chicago LLC PastSince Apr 4, 2022 Accepting new patients

Locations

406 N Indiana Ave
Englewood, FL 34223
Phone (941) 426-9521

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

2481 Bobcat Village Center Rd
Unit 101
North Port, FL 34288
Phone (941) 538-7319

921 Town Center Dr
Ste 200
Orange City, FL 32763
Phone (386) 218-1180

7605 Conroy Windermere Rd
Orlando, FL 32835
Phone (321) 244-6799

4255 Kings Hwy
Port Charlotte, FL 33980
Phone (941) 235-2111

3107 13th St
Saint Cloud, FL 34769
Phone (321) 244-6755

21550 Angela Ln
Venice, FL 34293
Phone (941) 493-7400

1295 Jacaranda Blvd
Venice, FL 34292
Phone (941) 484-1510

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

4210 Pioneer Woods Dr
Ste A
Lincoln, NE 68506
Phone (402) 488-4321

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1174974950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 ANGELA LN",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932017",
            "telephone_number": "941-493-7400",
            "fax_number": "941-493-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "GABRIEL",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME146577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.