Individual provider Active NPI

Mina Gerges, M.D.

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1639600802
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME143755 Issued in FL
Practice address
17327 Pagonia Rd
Clermont, FL 34711-6009
Phone
(407) 905-6001
Fax
(407) 905-6001
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME143755 FL Primary

Addresses

Primary practice location

17327 Pagonia Rd
Clermont, FL 34711-6009

Mailing address

17327 Pagonia Rd
Clermont, FL 34711-6009
Phone (407) 905-6001

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
I20200826000998 FL Practitioner - NeurologyPractitioner - Internal Medicine 8123390135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Physicians Network Inc Internal Medicine CurrentSince Aug 24, 2020 Accepting new patients
Orlando Epilepsy Center Inc CurrentSince Apr 21, 2023 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince May 9, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 9, 2022 Accepting new patients

Locations

17327 Pagonia Rd
Clermont, FL 34711
Phone (407) 905-6000

805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

226 W Michigan St
Ste A
Orlando, FL 32806
Phone (407) 704-8380

21 Columbia St
Ste 102
Orlando, FL 32806
Phone (407) 841-5145

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

2881 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 652-6000

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mgerges33514@orlandohealth.medalliesdirect.net

Organizations & group practices 5

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 6

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1639600802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17327 PAGONIA RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116009",
            "telephone_number": "407-905-6001",
            "fax_number": "407-905-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17327 PAGONIA RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116009",
            "telephone_number": "407-905-6001",
            "fax_number": "407-905-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGES",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME143755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.