Individual provider Active NPI

Abner Jose Gabaldon

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1497940043
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN305 Issued in FL
Practice address
804 Emmett St
Kissimmee, FL 34741-5434
Phone
(407) 452-2498
NPI assigned
Sep 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN305 FL Primary

Addresses

Primary practice location

804 Emmett St
Kissimmee, FL 34741-5434

Mailing address

804 Emmett St
Kissimmee, FL 34741-5434
Phone (407) 452-2498

Other names 1

  • Dr. Abner Jose Gabaldon Professional name

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
I20100317000193 FL Practitioner - General Practice 2567545106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

705 N Main St
Kissimmee, FL 34744-5265
Phone (407) 504-5019

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN305FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Life Health Center Inc. CurrentSince Jul 13, 2012 Accepting new patients

Locations

705 N Main St
Kissimmee, FL 34744
Phone (407) 504-5019

100 Park Place Blvd
Ste 201
Kissimmee, FL 34741
Phone (407) 518-9505

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1497940043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 EMMETT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415434",
            "telephone_number": "407-452-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 EMMETT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415434",
            "telephone_number": "407-452-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABALDON",
        "first_name": "ABNER",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABNER",
            "last_name": "GABALDON",
            "middle_name": "JOSE",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.