NPIMap

Individual provider Active NPI

George Gomez-Delrio, MD

  • Hospitalist Physician
  • Titusville, FL
National Provider Identifier
1568425932
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME56889 Issued in FL
Practice address
951 N Washington Ave
PMC - Hospitalist Dept
Titusville, FL 32796-2163
Phone
(321) 268-6111
Fax
(321) 268-6360
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME56889 FL
Emergency Medicine Physician 207P00000X ME56889 FL
Hospitalist Physician 208M00000X ME56889 FL Primary

Addresses

Primary practice location

951 N Washington Ave
PMC - Hospitalist Dept
Titusville, FL 32796-2163

Mailing address

805 Century Medical Dr
Suite C
Titusville, FL 32796-2100
Phone (321) 268-6264

Other identifiers 1

IdentifierTypeStateIssuer
255439900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051008000058 FL Practitioner - Emergency MedicinePractitioner - Internal Medicine 8628093788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

1954 US Hwy 1
Suite 105
Rockledge, FL 32955-3761
Phone (321) 567-7750

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Care Plan, Inc CurrentSince Dec 12, 2022 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Dec 12, 2022 Accepting new patients
Rockledge Physician Services, LLC Hospitalist CurrentSince Aug 24, 2019 Accepting new patients
Pine Castle Urgent Care Center PLLC Past Accepting new patients
Hunter'S Creek Urgent Care Center Past Accepting new patients
Celebration Urgent Care Center PLLC Past Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients

Locations

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

1954 US Highway 1
Ste 105
Rockledge, FL 32955
Phone (321) 567-7750

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

Organizations & group practices 8

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 4

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1568425932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTURY MEDICAL DR",
            "address_2": "SUITE C",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962100",
            "telephone_number": "321-268-6264",
            "fax_number": "321-268-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE",
            "address_2": "PMC - HOSPITALIST DEPT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962163",
            "telephone_number": "321-268-6111",
            "fax_number": "321-268-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-DELRIO",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME56889",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME56889",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME56889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255439900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.