Individual provider Active NPI

Sonia Micaela Gibson, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Deerfield Beach, FL
National Provider Identifier
1316190507
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME116746 Issued in FL
Practice address
1950 W Hillsboro Blvd
Deerfield Beach, FL 33442-1415
Phone
(954) 408-8960
Fax
(954) 408-8961
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME116746. FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME116746 FL Primary

Addresses

Primary practice location

1950 W Hillsboro Blvd
Deerfield Beach, FL 33442-1415

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582

Other practice location 1

4477 Medical Center Way
West Palm Beach, FL 33407-3286
Phone (561) 781-8060

Other practice location 2

3387 S Jog Rd
Greenacres, FL 33467-2010
Phone (561) 781-8080

Other identifiers 1

IdentifierTypeStateIssuer
009183400MedicaidFL

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
I20130821000823 FL Practitioner - Endocrinology 5193968253 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116746.FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glu 1 LLC Endocrinology, Diabetes & Metabolism Current Accepting new patients
Medflorida Specialists, LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 17, 2023 Accepting new patients
Allara Medical Group PA Past Accepting new patients
Medical Consultants of Florida, LLC PastSince Dec 18, 2022 Accepting new patients
Medical Consultants of Florida LLC PastSince Dec 18, 2022 Accepting new patients
Medical Consultants of Florida, LLC PastSince Sep 15, 2024 Accepting new patients

Locations

1950 W Hillsboro Blvd
Ste 103
Deerfield Beach, FL 33442
Phone (954) 408-8960

3387 S Jog Rd
Ste 104
Greenacres, FL 33467
Phone (561) 781-8080

Interoperability endpoints

  • Direct secure messaging: sonia.gibson@335000925634564.direct.elationemr.com

Organizations & group practices 6

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1316190507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421415",
            "telephone_number": "954-408-8960",
            "fax_number": "954-408-8961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4477 Medical Center Way",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073286",
            "country_code": "US",
            "telephone_number": "561-781-8060",
            "fax_number": "561-781-8099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3387 S Jog Rd",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334672010",
            "country_code": "US",
            "telephone_number": "561-781-8080",
            "fax_number": "561-781-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SONIA",
        "middle_name": "MICAELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME116746.",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME116746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009183400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.