Individual provider Active NPI

Ronald Gelles, MD

  • Internal Medicine Physician
  • Miami Springs, FL
National Provider Identifier
1285798702
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FL0013975 Issued in FL
Practice address
175 Westward Dr
Miami Springs, FL 33166
Phone
(305) 885-0515
Fax
(305) 888-1769
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X FL0013975 FL Primary

Addresses

Primary practice location

175 Westward Dr
Miami Springs, FL 33166

Mailing address

175 Westward Dr
Miami Springs, FL 33166-5257
Phone (305) 885-0515

Other identifiers 1

IdentifierTypeStateIssuer
047201800MedicaidFL

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
I20080522000051 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4981773546 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FL0013975FLMDInternal Medicine Physician
13975FLMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Echo Readers of East Hialeah Inc CurrentSince Feb 1, 2000 Accepting new patients
Hialeah Ekg Readers Inc CurrentSince Mar 1, 1969 Accepting new patients
Cima Med Center Miami Springs, LLC Internal Medicine CurrentSince Oct 25, 2020 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

175 Westward Dr
Miami Springs, FL 33166
Phone (305) 603-7449

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

5927 SW 70th St
#439031
South Miami, FL 33143

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1285798702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665257",
            "telephone_number": "305-885-0515",
            "fax_number": "305-888-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-885-0515",
            "fax_number": "305-888-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLES",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "FL0013975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047201800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

Verify at the official NPI Registry.