Gilles Chemtob, MD
Individual provider Active NPI Critical Care Medicine (Anesthesiology) Physician · Clermont, FL
NPI 1467448704 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1467448704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician 207LC0200X
- License
- ME81233 (FL)
- Practice address
- 1900 Don Wickham Dr
Clermont, FL 34711-1979 - Phone
- (525) 368-8403
- Fax
- (352) 536-8841
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Orlando Health Medical Group Inc
Florida Hospital Medical Group Inc
Practice addresses (Care Compare)
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 536-8840
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570
Hospital & facility affiliations
- Orlando Health South Lake Hospital
- Orlando Health-Health Central Hospital
- Orlando Health
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100120000734 | FL | Practitioner - Critical Care (Intensivists) |
9830231463 | Reassigns benefits to 3 organizations |
| I20170113002310 | CA | Practitioner - Critical Care (Intensivists) |
9830231463 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Orlando Health Medical Group Inc | Current |
Accepting new patients | |
| Orlando Health Medical Group Inc | Current |
Accepting new patients | |
| Inpatient Specialists of California, PC | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current |
Accepting new patients |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients |
Locations
2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
5535 S Williamson Blvd
Ste 700
Port Orange, FL 32128
Phone (386) 231-2011
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- gchemtob467622@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME81233 | FL | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 16544 | NV | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | ME81233 | FL | Yes |
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | 16544 | NV |
Addresses
Primary practice location
1900 Don Wickham Dr
Clermont, FL 34711-1979
Mailing address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Other practice location 1
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-7283
Other practice location 2
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 284-1611
Other providers in Clermont, FL
- Cherelle Lavora Charneco
- Linda S Chatelier
- Eric M Chatman
- Rahila N Chaudhry
- Jasmine Cheatom
- Peter S Chen
- Thomas Cheng
- Kevin Cheung
- Anastasia Chieffallo
- Janet Patricia Chila
All providers in Clermont, FL · Critical Care Medicine (Anesthesiology) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.