NPIMap

Individual provider Active NPI

Paul Joseph Gambino, M.D.

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1235427451
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME123816 Issued in FL
Practice address
721 Colorado Ave
Stuart, FL 34994
Phone
(772) 888-2545
NPI assigned
Jul 21, 2011
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 281078-1 NY
Family Medicine Physician 207Q00000X ME123816 FL Primary

Addresses

Primary practice location

721 Colorado Ave
Stuart, FL 34994

Mailing address

721 Colorado Ave
Stuart, FL 34994-3017
Phone (732) 231-6542

Other practice location 1

1840 Eldron Blvd SE Ste 1
Palm Bay, FL 32909-6871
Phone (321) 312-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917000276 FL Practitioner - Family Practice 8820231004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frank C Alario MD PLGroup PAC ID 7618151655, 4 clinicians

Practice addresses (Care Compare)

721 Colorado Ave
Stuart, FL 34994-3017
Phone (772) 884-2545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123816FLMDFamily Medicine Physician
281078-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank C Alario MD PL Family Medicine Past Accepting new patients
Frank C Alario MD PL Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pgambino151178@mhsdirect.net

Organizations & group practices 3

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 5

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1235427451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943017",
            "telephone_number": "732-231-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-888-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Eldron Blvd SE Ste 1",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329096871",
            "country_code": "US",
            "telephone_number": "321-312-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281078-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.