Active NPI
Ronald Gelles, MD
- Internal Medicine Physician
- Miami Springs, FL
National Provider Identifier
1285798702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- FL0013975
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047201800 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080522000051 | FL | Practitioner - Internal Medicine | 4981773546 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL0013975 | FL | MD | Internal Medicine Physician |
| 13975 | FL | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Echo Readers of East Hialeah Inc | Current | Accepting new patients | |
| Hialeah Ekg Readers Inc | Current | Accepting new patients | |
| Cima Med Center Miami Springs, LLC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Miami Springs, FL
- NPI 1518566496
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.