Individual provider Active NPI

Josue Peretra Gabriel, MD

  • Orthopaedic Surgery of the Spine Physician
  • Hilliard, OH
National Provider Identifier
1376506824
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
35.072606 Issued in OH
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

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041105001097 OH Practitioner - Orthopedic Surgery 1759344120 Reassigns benefits to 1 organization
I20161011001267 MO Practitioner - Orthopedic Surgery 1759344120 Reassigns benefits to 1 organization
I20251222002516 ID Practitioner - Orthopedic Surgery 1759344120 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036107556ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Bonutti Orthopedic Services LTD Orthopaedic Surgery Current Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Orthopaedic Surgery CurrentSince Sep 10, 2016 Accepting new patients
Precision Surgery Center PLLC CurrentSince Oct 1, 2025 Accepting new patients
Anesthesia and Pain Management LLC CurrentSince Sep 1, 2021 Accepting new patients
Anesthesia and Pain Management LLC PastSince Jun 26, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/13461/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.