Individual provider Active NPI

Gamal Mohamed Khalil Marey, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Stockton, CA
National Provider Identifier
1548418759
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
174119 Issued in CA
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

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211004001011 IL Practitioner - Thoracic Surgery 2062785330 Reassigns benefits to 1 organization
I20230607002630 MI Practitioner - Cardiovascular Disease (Cardiology) 2062785330 Reassigns benefits to 3 organizations
I20230911004119 CA Practitioner - Thoracic Surgery 2062785330 Reassigns benefits to 1 organization
I20250410002836 VA Practitioner - Thoracic Surgery 2062785330 Reassigns benefits to 2 organizations

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
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians
American Specialty Physicians Group IncGroup PAC ID 6103198460, 99 clinicians

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 Hospital, Stockton, CA, CCN 050122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174119CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101269316VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Sep 1, 2024 Accepting new patients
McLaren Central Michigan CurrentSince May 3, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince May 31, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Dec 15, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2024 Accepting new patients
McLaren Central Michigan CurrentSince May 3, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Jul 30, 2021 Accepting new patients
McLaren Northern Michigan CurrentSince May 31, 2023 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Dec 15, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
American Specialty Physicians Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 22, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Mar 22, 2025 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

  • Direct secure messaging: gmarey837139@direct.trinity-health.org
  • Direct secure messaging: 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.

View all 18

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": "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

Verify at the official NPI Registry.