Individual provider Active NPI

Michael Sydnor Gorby, M.D.

  • Internal Medicine Physician
  • Tyler, TX
National Provider Identifier
1366446049
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G3402 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 606-4129
NPI assigned
Jun 9, 2005
Reactivated
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G3402 TX Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G3402 TX

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

1021 S Sycamore St
Palestine, TX 75801-5041
Phone (903) 729-8328

Other practice location 1

1021 S Sycamore St
Palestine, TX 75801-5041
Phone (903) 729-8328

Other identifiers 1

IdentifierTypeStateIssuer
P01290930OtherTXMEDICARE RAIL ROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100927000697 TX Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0345329801 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
University of Texas Southwestern Medical School at Dallas, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sycamore Medical ClinicGroup PAC ID 9638367188, 5 clinicians

Practice addresses (Care Compare)

1021 S Sycamore St
Palestine, TX 75801-5041
Phone (903) 729-8328

Hospital & facility affiliations

  • Hospice Plus Hospice, Dallas, TX, CCN 451780
  • Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Trucare Living Centers Nursing home, Palestine, TX, CCN 676257
  • Legacy at Town Creek Nursing home, Palestine, TX, CCN 675998

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Oct 14, 2013 Accepting new patients
Sycamore Medical Clinic Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Oct 14, 2013 Accepting new patients
Hospital Medicine Associates of TX PA Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Current Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Jun 24, 2015 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jan 22, 2017 Accepting new patients
Apogee Medical Group Texas PA Internal Medicine CurrentSince Mar 20, 2011 Accepting new patients

Locations

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

1021 S Sycamore St
Palestine, TX 75801
Phone (903) 723-2547

3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330

2900 S Loop 256
Ste 2
Palestine, TX 75801
Phone (903) 723-7577

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAADA
  • Direct secure messaging: michael_s_gorby_-_physician@yourcarecommunity.org
  • Direct secure messaging: mgorby23338@christushealth.direct-ci.net

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1366446049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015041",
            "telephone_number": "903-729-8328",
            "fax_number": "903-729-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-606-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758015041",
            "country_code": "US",
            "telephone_number": "903-729-8328",
            "fax_number": "903-729-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORBY",
        "first_name": "MICHAEL",
        "middle_name": "SYDNOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G3402",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "G3402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P01290930",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.