Active NPI
Andre Gabriel, MD
- Interventional Cardiology Physician
- Port St John, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME165688
- Practice address
- 5005 Port St John Pkwy
Port St John, FL 32927-4305 - Phone
- (321) 633-8660
- Fax
- (321) 268-6164
- NPI assigned
- Jun 1, 2017
- Reactivated
- May 22, 2018
- Last updated
- Nov 27, 2024
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME165688 | FL | |
| Interventional Cardiology Physician | 207RI0011X | ME165688 | FL | Primary |
Addresses
Primary practice location
5005 Port St John Pkwy
Port St John, FL 32927-4305
Mailing address
825 Century Medical Dr
Titusville, FL 32796-2113
Phone (321) 633-8660
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
250 Harrison St
Titusville, FL 32780-5094
Phone (321) 268-6834
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Coronary angioplasty and stenting | 15 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard Medical Support, Inc | Current | Accepting new patients |
Locations
390 Challenger Rd
Port Canaveral, FL 32920
Phone (321) 633-8640
5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556
250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868
825 Century Medical Dr
Titusville, FL 32796
Phone (321) 567-4991
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
Interoperability endpoints
- andre.gabriel.1@17832.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Parrish Medical Group
- Multi-Specialty Clinic/Center
- Titusville, FL
- NPI 1609834886
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1629506779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 CENTURY MEDICAL DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962113",
"telephone_number": "321-633-8660",
"fax_number": "321-268-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 PORT ST JOHN PKWY",
"city": "PORT ST JOHN",
"state": "FL",
"postal_code": "329274305",
"telephone_number": "321-633-8660",
"fax_number": "321-268-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "ANDRE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-01",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"deactivation_date": "2018-02-07",
"reactivation_date": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME165688",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME165688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St John, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.