Individual provider Active NPI

Gilbert Ochieng Mbeo, M.D.

  • Interventional Pain Medicine Physician
  • Orlando, FL
National Provider Identifier
1396024949
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME142909 Issued in FL
Practice address
13563 Narcoossee Rd Ste 110
Orlando, FL 32832-7138
Phone
(407) 730-4240
Fax
(407) 887-1025
NPI assigned
Aug 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 18428 WI
Neurology Physician 2084N0400X 23790 MS
Neurology Physician 2084N0400X 0101271306 VA
Neurology Physician 2084N0400X MT197627 PA
Neurology Physician 2084N0400X 83362 SC
Neurology Physician 2084N0400X 73752-20 WI
Neurology Physician 2084N0400X 2020-01021 NC
Neurology Physician 2084N0400X 04-42902 KS
Neurology Physician 2084N0400X 2020001525 MO
Neurology Physician 2084N0400X 65451 AZ
Neurology Physician 2084N0400X ME142909 FL
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X ME142909 FL
Interventional Pain Medicine Physician 208VP0014X ME142909 FL Primary
Neurocritical Care Physician 2084A2900X ME142909 FL
Neurocritical Care Physician 2084A2900X 83362 SC

Addresses

Primary practice location

13563 Narcoossee Rd Ste 110
Orlando, FL 32832-7138

Mailing address

13563 Narcoossee Rd FL 32832
Orlando, FL 32832-7137
Phone (407) 730-4240

Other practice location 1

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-7283

Other practice location 2

200 Patewood Dr Ste B350
Greenville, SC 29615-6337
Phone (864) 454-4500

Other practice location 3

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-3100

Other identifiers 2

IdentifierTypeStateIssuer
09185861MedicaidMS
833628MedicaidSC

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address gmbeo279201@direct.myadvocateaurora.org
Direct Messaging Address gmbeo702389@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240731002210 MD Practitioner - NeurosurgeryPractitioner - Psychiatry 6103126081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13773 Mommsen Ave
Orlando, FL 32827-7925

223 Executive Park
Loisville, KY 40207-4202

314 Furlong Trce
Versailles, KY 40383-2067

5010 Kaufman LN Unit
Suite 202
Louisville, KY 40216-1188

900 Hope Way
Altamonte Springs, FL 32714-1502

PO Box
Suite 36055
Belfast, ME 04915-1202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65451AZMDNeurology Physician
04-42902KSMDNeurology Physician
2020001525MOMDNeurology Physician
MT197627PAMDNeurology Physician
83362SCMDNeurology Physician
0101271306VAMDNeurology Physician
18428WIMDNeurology Physician
73752-20WIMDNeurology Physician
ME142909FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Pain Management LLC CurrentSince Jul 1, 2024 Accepting new patients
Global Pain Management CurrentSince Jul 1, 2024 Accepting new patients
Brain, Spine and Pain Institute of Tennessee PastSince Apr 23, 2023 Accepting new patients

Locations

8031 Ritchie Hwy
Ste 202
Pasadena, MD 21122
Phone (443) 821-4050

8055 Ritchie Hwy
Ste 100
Pasadena, MD 21122

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: gmbeo702389@direct.unc.nchie.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1396024949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13563 NARCOOSSEE RD FL 32832",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327137",
            "telephone_number": "407-730-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13563 NARCOOSSEE RD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327138",
            "telephone_number": "407-730-4240",
            "fax_number": "407-887-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-303-7283",
            "fax_number": "407-303-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Patewood Dr Ste B350",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296156337",
            "country_code": "US",
            "telephone_number": "864-454-4500",
            "fax_number": "864-454-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBEO",
        "first_name": "GILBERT",
        "middle_name": "OCHIENG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2023-07-13",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "18428",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "23790",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101271306",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MT197627",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "83362",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "73752-20",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2020-01021",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-42902",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2020001525",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "65451",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME142909",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME142909",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME142909",
            "primary": true
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "FL",
            "license": "ME142909",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "SC",
            "license": "83362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09185861",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833628",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "601 E Rollins St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328031248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmbeo279201@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "601 E Rollins St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328031248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmbeo702389@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.