Individual provider Active NPI

Donald James Gibertini, D.O.

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1497771125
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013-00791 Issued in NC
Practice address
5955 Rand Blvd
Sarasota, FL 34238-5160
Phone
(941) 552-7508
Fax
(941) 552-7605
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 3483 AZ
Family Medicine Physician 207Q00000X 2013-00791 NC Primary

Addresses

Primary practice location

5955 Rand Blvd
Sarasota, FL 34238-5160

Mailing address

5955 Rand Blvd
Sarasota, FL 34238-5160
Phone (941) 552-7508

Other identifiers 1

IdentifierTypeStateIssuer
IL833ZOtherFLMEDICARE PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224001756 FL Practitioner - Family Practice 1153417514 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00791NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gilbertinis Home Care PLLC Family Medicine Current Accepting new patients
Empath Health Pharmaceuticals, LLC CurrentSince Jul 30, 2022 Accepting new patients
The Hospice of the Florida Suncoast, Inc. Family Medicine CurrentSince Jul 30, 2022 Accepting new patients

Locations

5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480

5771 Roosevelt Blvd
Ste 610
Clearwater, FL 33760
Phone (727) 523-2160

6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500

2675 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 467-7423

6770 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 523-2460

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1497771125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-552-7508",
            "fax_number": "941-552-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-552-7508",
            "fax_number": "941-552-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBERTINI",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "AZ",
            "license": "3483",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-00791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL833Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.