Individual provider Active NPI

George A Gamouras, MD FAAC

  • Interventional Cardiology Physician
  • Naples, FL
National Provider Identifier
1508833757
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME69168 Issued in FL
Practice address
6376 Pine Ridge Rd Ste 380
Naples, FL 34119-3905
Phone
(239) 304-9720
Fax
(239) 304-9609
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME69168 FL Primary

Addresses

Primary practice location

6376 Pine Ridge Rd Ste 380
Naples, FL 34119-3905

Mailing address

6376 Pine Ridge Rd Ste 380
Naples, FL 34119-3905
Phone (239) 304-9720

Other identifiers 2

IdentifierTypeStateIssuer
060063855OtherFLMEDICARE RR
49626OtherFLBCBS

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
I20060425000233 FL Practitioner - Cardiovascular Disease (Cardiology) 6608886437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Medical College of Wisconsin, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6376 Pine Ridge Rd
Suite 380
Naples, FL 34119-3908

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69168FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George a Gamouras MD PA Interventional Cardiology CurrentSince Feb 11, 2000 Accepting new patients

Locations

6101 Pine Ridge Rd
#1213
Naples, FL 34119
Phone (239) 263-0849

694 8th St N
Naples, FL 34102
Phone (239) 775-3535

700 2nd Ave N
Ste 303
Naples, FL 34102
Phone (239) 263-2250

6376 Pine Ridge Rd
Ste 380
Naples, FL 34119
Phone (239) 304-9720

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJBADA/Endpoint/BJBADA

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1508833757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD STE 380",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193905",
            "telephone_number": "239-304-9720",
            "fax_number": "239-304-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD STE 380",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193905",
            "telephone_number": "239-304-9720",
            "fax_number": "239-304-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMOURAS",
        "first_name": "GEORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD FAAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME69168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "060063855",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49626",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.