Individual provider Active NPI

David M Gondek, PA-C

  • Surgical Physician Assistant
  • Lady Lake, FL
National Provider Identifier
1487684528
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1860 Issued in FL
Practice address
13696 N US Highway 441
Lady Lake, FL 32159-6814
Phone
(352) 775-1221
Fax
(866) 531-8528
NPI assigned
Jul 4, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1860 FL
Medical Physician Assistant 363AM0700X PA 1860 FL
Surgical Physician Assistant 363AS0400X PA1860 FL Primary

Addresses

Primary practice location

13696 N US Highway 441
Lady Lake, FL 32159-6814

Mailing address

13696 N US Highway 441
Lady Lake, FL 32159-6814
Phone (352) 775-1221

Other identifiers 2

IdentifierTypeStateIssuer
019839000MedicaidFL
PA1860OtherFLPA LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000269 FL Practitioner - Physician Assistant 5890897094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Institute of Orthopedics PAGroup PAC ID 6305382714, 5 clinicians

Practice addresses (Care Compare)

13696 N US Hwy 441
Lady Lake, FL 32159-6814
Phone (352) 775-1221

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 1860FLMDMedical Physician Assistant
PA1860FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Clinical Services,Inc. Surgical CurrentSince Nov 12, 2023 Accepting new patients
Orlando Orthopaedic Center MD PA CurrentSince Jul 28, 2025 Accepting new patients
Williams Institute of Orthopedics, PA Current Accepting new patients
The Orthopaedic Institute PA CurrentSince May 1, 2024 Accepting new patients
Orlando Orthopaedic Center MD PA CurrentSince Jul 28, 2025 Accepting new patients
The Orthopaedic Institute, PA CurrentSince May 1, 2024 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Vero Beach Surgery Center LLC Past Accepting new patients
Orlando Orthopaedic Center MD PA Past Accepting new patients
Peter R Aldana MD PA Past Accepting new patients

Locations

5400 N Federal Hwy
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 771-8772

13696 N US Highway 441
Lady Lake, FL 32159
Phone (352) 775-1221

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

25 W Crystal Lake St
Ste 200
Orlando, FL 32806
Phone (407) 254-2500

4215 Edgewater Dr
Orlando, FL 32804
Phone (407) 539-2000

13838 Tilden Rd
Winter Garden, FL 34787
Phone (407) 254-2500

2699 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 897-1363

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: david.gondek.p1@direct.ooc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIIEDD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1487684528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13696 N US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596814",
            "telephone_number": "352-775-1221",
            "fax_number": "866-531-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13696 N US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596814",
            "telephone_number": "352-775-1221",
            "fax_number": "866-531-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDEK",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1860",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 1860",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA1860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019839000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA1860",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.