Active NPI
Josue Peretra Gabriel, MD
- Orthopaedic Surgery of the Spine Physician
- Hilliard, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 35.072606
- Practice address
- 3535 Fishinger Blvd
Ste 280
Hilliard, OH 43026-7568 - Phone
- (614) 222-0743
- Fax
- (614) 222-0744
- NPI assigned
- Apr 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 036107556 | IL | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 35.072606 | OH | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 036107556 | IL |
Addresses
Primary practice location
3535 Fishinger Blvd
Ste 280
Hilliard, OH 43026-7568
Mailing address
3535 Fishinger Blvd
Ste 280
Hilliard, OH 43026-7568
Phone (614) 222-0743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MO, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1333 E Madison Ave
Suite 201
El Cajon, CA 92021-8573
633 N 4TH St
Boise, ID 83702-4510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107556 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Center Inc | Current | Accepting new patients | |
| Bonutti Orthopedic Services LTD | Orthopaedic Surgery | Current | Accepting new patients |
| Prime Healthcare Kansas City - Physician Services LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Precision Surgery Center PLLC | Current | Accepting new patients | |
| Anesthesia and Pain Management LLC | Current | Accepting new patients | |
| Anesthesia and Pain Management LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
900 N Liberty St
Ste 300
Boise, ID 83704
Phone (208) 367-6901
633 N 4th St
Boise, ID 83702
Phone (208) 342-9800
1825 S Kimball Ave
Caldwell, ID 83605
Phone (208) 454-0567
1303 W Evergreen Ave
Ste 101
Effingham, IL 62401
Phone (217) 342-3400
1303 W Evergreen Ave
Effingham, IL 62401
Phone (217) 342-3400
8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930
6509 W 103rd St
Overland Park, KS 66212
Phone (913) 649-3701
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
2619 Commons Blvd
Ste 130
Beavercreek, OH 45431
Phone (937) 280-4541
Interoperability endpoints
- https://api.platform.athenahealth.com/13461/brand/1/csg/1/fhir/r4
- josue.gabriel.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 7
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.
-
- Pain Medicine (Anesthesiology) Physician
- Beavercreek, OH
- NPI 1053600114
-
- Pain Clinic/Center
- Boise, ID
- NPI 1740582303
-
- Ambulatory Surgical Clinic/Center
- Boise, ID
- NPI 1750884052
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1427449487
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Effingham, IL
- NPI 1285687996
-
- Multi-Specialty Clinic/Center
- Beavercreek, OH
- NPI 1952780132
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1376506824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 FISHINGER BLVD",
"address_2": "STE 280",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267568",
"telephone_number": "614-222-0743",
"fax_number": "614-222-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 FISHINGER BLVD",
"address_2": "STE 280",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267568",
"telephone_number": "614-222-0743",
"fax_number": "614-222-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "JOSUE",
"middle_name": "PERETRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IL",
"license": "036107556",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "OH",
"license": "35.072606",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036107556",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.