Active NPI
David M Gondek, PA-C
- Surgical Physician Assistant
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA1860
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019839000 | Medicaid | FL | |
| PA1860 | Other | FL | PA 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 1860 | FL | MD | Medical Physician Assistant |
| PA1860 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Clinical Services,Inc. | Surgical | Current | Accepting new patients |
| Orlando Orthopaedic Center MD PA | Current | Accepting new patients | |
| Williams Institute of Orthopedics, PA | Current | Accepting new patients | |
| The Orthopaedic Institute PA | Current | Accepting new patients | |
| Orlando Orthopaedic Center MD PA | Current | Accepting new patients | |
| The Orthopaedic Institute, PA | Current | 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
- david.gondek.p1@direct.ooc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Orthopaedic Surgery Physician
- Lady Lake, FL
- NPI 1407695794
-
dba Orlando Orthopaedic Center - WL
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1164154407
-
- Orthopaedic Surgery Physician
- Lake Mary, FL
- NPI 1740476068
-
- Surgical Physician Assistant
- Orlando, FL
- NPI 1033162011
-
dba The Orthopaedic Institute
- Orthopaedic Surgery Physician
- Gainesville, FL
- NPI 1740373547
-
- Orthopaedic Surgery Physician
- Jupiter, FL
- NPI 1992569198
-
- Orthopaedic Surgery Physician
- Winter Park, FL
- NPI 1396931614
-
- Orthopaedic Surgery Physician
- Atlantis, FL
- NPI 1164963252
-
- Specialist
- Fort Pierce, FL
- NPI 1881764058
-
- Ambulatory Surgical Clinic/Center
- Vero Beach, FL
- NPI 1265484851
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.