Individual provider Active NPI

Mark Gimbel, M.D.

  • Surgical Oncology Physician
  • St Petersburg, FL
National Provider Identifier
1235324518
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME181413 Issued in FL
Practice address
725 6TH Ave S Ste 4200
St Petersburg, FL 33701-4878
Phone
(727) 553-7140
Fax
(727) 553-7141
NPI assigned
Sep 11, 2007
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 42219 AZ
Surgical Oncology Physician 2086X0206X ME181413 FL Primary

Addresses

Primary practice location

725 6TH Ave S Ste 4200
St Petersburg, FL 33701-4878

Mailing address

725 6TH Ave S Ste 4200
St Petersburg, FL 33701-4878
Phone (727) 553-7140

Other practice location 1

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090430000186 FL Practitioner - Surgical OncologyPractitioner - General Surgery 0840348892 Reassigns benefits to 1 organization
I20090826000573 AZ Practitioner - General SurgeryPractitioner - Surgical Oncology 0840348892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as group
Quality
62.19
Promoting interoperability
99
Improvement activities
40
Cost
61.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME181413FLMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 1, 2012 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 1, 2012 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2011 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 1, 2011 Accepting new patients
Banner Gateway Medical Center Past Accepting new patients
Arizona Specialty Physicians Past Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

1920 N Higley Rd
Ste 308
Gilbert, AZ 85234
Phone (480) 543-6600

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1515 N 9th St
Ste D
Phoenix, AZ 85006
Phone (602) 252-6855

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1235324518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 6TH AVE S STE 4200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014878",
            "telephone_number": "727-553-7140",
            "fax_number": "727-553-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 6TH AVE S STE 4200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014878",
            "telephone_number": "727-553-7140",
            "fax_number": "727-553-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2946 E Banner Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342165",
            "country_code": "US",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "AZ",
            "license": "42219",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME181413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.