Individual provider Active NPI

Girma Moges Gamme, M.D.

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1184264764
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME159498 Issued in FL
Practice address
Don Soffer Clinical Research Building
1120 NW 14TH Street - 4TH Floor
Miami, FL 33136
Phone
(631) 686-7679
Fax
(631) 686-6925
NPI assigned
Jan 10, 2020
Reactivated
Nov 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 302170 NY
Surgery Physician 208600000X ME159498 FL Primary

Addresses

Primary practice location

Don Soffer Clinical Research Building
1120 NW 14TH Street - 4TH Floor
Miami, FL 33136

Mailing address

1120 NW 14TH St FL 4
Miami, FL 33136-2107

Other identifiers 1

IdentifierTypeStateIssuer
302170MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ggamme115256@direct.med.miami.edu

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1184264764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST FL 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DON SOFFER CLINICAL RESEARCH BUILDING",
            "address_2": "1120 NW 14TH STREET - 4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "631-686-7679",
            "fax_number": "631-686-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMME",
        "first_name": "GIRMA",
        "middle_name": "MOGES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "deactivation_date": "2020-12-08",
        "reactivation_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "302170",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME159498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.