Active NPI
Gamal Mohamed Khalil Marey, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 174119
- Practice address
- 530 W Acacia St Ste 1
Stockton, CA 95203-2400 - Phone
- (209) 242-7098
- NPI assigned
- Aug 29, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 174119 | CA | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 0101269316 | VA |
Addresses
Primary practice location
530 W Acacia St Ste 1
Stockton, CA 95203-2400
Mailing address
530 W Acacia St Ste 1
Stockton, CA 95203-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI, CA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 S Washington Ave
FL 1
Saginaw, MI 48601-2556
Phone (989) 907-4382
173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308
Hospital & facility affiliations
- Dameron Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174119 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 0101269316 | VA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| McLaren Central Michigan | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| American Specialty Physicians Group Inc | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Past | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients |
Locations
151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308
700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289
3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353
1015 S Washington Ave
Fl 1
Saginaw, MI 48601
Phone 98975430004332
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- gmarey837139@direct.trinity-health.org
- gmarey519432@direct.bsmhealth.org
Organizations & group practices 18
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.
-
- Emergency Medicine Physician
- Modesto, CA
- NPI 1568992923
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1326658154
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
- Family Medicine Physician
- Mount Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1548418759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 W ACACIA ST STE 1",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952032400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 W ACACIA ST STE 1",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952032400",
"telephone_number": "209-242-7098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAREY",
"first_name": "GAMAL",
"middle_name": "MOHAMED KHALIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-29",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "174119",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "VA",
"license": "0101269316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.