Active NPI
Sammy Arnold Gammenthaler, MD
- Cardiovascular Disease Physician
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME108483
- Practice address
- 1815 Salk Ave
Tavares, FL 32778-4311 - Phone
- (352) 343-1158
- Fax
- (352) 343-8106
- NPI assigned
- Jun 1, 2005
- Last updated
- Mar 19, 2015
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 38340 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | ME108483 | FL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 063196 | GA |
Addresses
Primary practice location
1815 Salk Ave
Tavares, FL 32778-4311
Mailing address
PO Box 1289
Tavares, FL 32778-1289
Phone (352) 343-1158
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 908091490A | Medicaid | GA | |
| 014122900 | Medicaid | FL | |
| 14H8K | Other | FL | BCBS OF FL |
| 127F2 | Other | NC | BCBS NC INDIVIDUAL ID # |
| 89127F2 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Loma Linda University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2105 SW 20TH PL
Ocala, FL 34471-7734
2111 SW 20TH PL
Ocala, FL 34471-7734
2111 SW 20TH Place
Ocala, FL 34471-7734
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.88 of 100
- Quality
- 70.72
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 84.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME108483 | FL | MD | Cardiovascular Disease Physician |
| 063196 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Cardiology & Vascular Center LLC | Cardiovascular Disease | Current | Accepting new patients |
| Cardiovascular Institute of Central Florida, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Cardiovascular Institute of Central Florida, LLC | Current | Accepting new patients | |
| Sadler Clinic Association | Past | Accepting new patients | |
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| Institute of Cardiovascular Excellence PLLC | Cardiovascular Disease | Past | Accepting new patients |
| Grace Hematology and Oncology | Past | Accepting new patients |
Locations
2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399
4901 International Pkwy
Ste 1031
Sanford, FL 32771
Phone (321) 275-1750
1815 Salk Ave
Tavares, FL 32778
1825 Salk Ave
Tavares, FL 32778
Phone (316) 204-3682
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- sammy.gammenthaler.1@29679.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Ocala, FL
- NPI 1679666598
-
- Cardiovascular Disease Physician
- Tavares, FL
- NPI 1225332075
-
dba CVI Cardiac Rehab Center
- Cardiac Rehabilitation Clinic/Center
- Ocala, FL
- NPI 1457166571
Cardiovascular Disease
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1396747424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1289",
"city": "TAVARES",
"state": "FL",
"postal_code": "327781289",
"telephone_number": "352-343-1158",
"fax_number": "352-343-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 SALK AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784311",
"telephone_number": "352-343-1158",
"fax_number": "352-343-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMENTHALER",
"first_name": "SAMMY",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "38340",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME108483",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "063196",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "908091490A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014122900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "14H8K",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC INDIVIDUAL ID #",
"identifier": "127F2",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89127F2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.