Mina Ghobrial, DO

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

OS18622 Issued in FL

Practice address

5398 Park St N
St Petersburg, FL 33709-1041

Phone

(727) 544-1441

Fax

(727) 545-8263

NPI assigned

Feb 28, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Cardiac Electrophysiology

Education

Philadelphia College of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians

Bay Area Heart Center PAGroup PAC ID 7416857180, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mina.ghobrial.1@15915.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4

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.

• Bay Area Heart Center PA

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1972595205

  Clinical Cardiac Electrophysiology

  Medicare reassignment Care Compare group NPD
• Pinellas Ekg Interpreters Inc

  • Cardiovascular Disease Physician
  • Clearwater, FL
  • NPI 1013952977
  Medicare reassignment Care Compare group NPD
• Cardiology Interpreters Inc

  • Cardiology Technician
  • Jacksonville, FL
  • NPI 1477887149
  Medicare reassignment NPD
• Morton Plant Mease Health Services Inc

  • Diagnostic Radiology Physician
  • Largo, FL
  • NPI 1528049962
  Medicare reassignment NPD
• Morton Plant Mease Health Services Inc

  • Diagnostic Radiology Physician
  • Safety Harbor, FL
  • NPI 1316576705
  NPD

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

• Largo Medical Center, Inc.

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• St. Anthonys Hospital, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1285059170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 7th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051310",
            "country_code": "US",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 66th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101545",
            "country_code": "US",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Clearwater Largo Rd N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702334",
            "country_code": "US",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOBRIAL",
        "first_name": "MINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-28",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "283883",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "OS18622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Germeroth, ARNP
• Jennifer Gerstner, ARNP
• Dianna Gerwig, RN
• Joshua Gesiorski, RPH
• Reza Ghassemi, D.C.
• Gi Surgery Associates
• Mallory Giannamore, OD
• Miguel Angel Giannoni Delgado, M.D.
• Denise Eva Gibbons, LMHC, MCAP
• Rebecca Joy Gibbons, AP, DOM

• Clinical Cardiac Electrophysiology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Cardiac Electrophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.