Individual provider Active NPI

Gilles Chemtob, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Clermont, FL
National Provider Identifier
1467448704
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
ME81233 Issued in FL
Practice address
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone
(525) 368-8403
Fax
(352) 536-8841
NPI assigned
Sep 22, 2005
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME81233 FL
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 16544 NV
Critical Care Medicine (Anesthesiology) Physician 207LC0200X ME81233 FL Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100120000734 FL Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 9830231463 Reassigns benefits to 3 organizations
I20170113002310 CA Practitioner - Critical Care (Intensivists)Practitioner - AnesthesiologyPractitioner - Hospice/Palliative Care 9830231463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Feb 26, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 18, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 26, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Oct 23, 2000 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 18, 2024 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Jul 1, 2018 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) 261-7821

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

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

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

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gchemtob467622@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1467448704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111979",
            "telephone_number": "525-368-8403",
            "fax_number": "352-536-8841"
        }
    ],
    "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": "1324 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054543",
            "country_code": "US",
            "telephone_number": "863-284-1611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEMTOB",
        "first_name": "GILLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME81233",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NV",
            "license": "16544",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "FL",
            "license": "ME81233",
            "primary": true
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "16544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.