Individual provider Active NPI

Jonathan Robert Gottlieb, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Coral Gables, FL
National Provider Identifier
1649335639
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME91517 Issued in FL
Practice address
475 Biltmore Way Ste 101
Coral Gables, FL 33134-5724
Phone
(305) 393-8810
Fax
(305) 393-8811
NPI assigned
Dec 27, 2006
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 2007-00143 NC
Orthopaedic Surgery of the Spine Physician 207XS0117X ME91517 FL Primary

Addresses

Primary practice location

475 Biltmore Way Ste 101
Coral Gables, FL 33134-5724

Mailing address

475 Biltmore Way Ste 101
Coral Gables, FL 33134-5724
Phone (305) 393-8810

Other practice location 1

3659 S Miami Ave Ste 4002
Miami, FL 33133-4231
Phone (305) 393-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Infusion, LLC Current Accepting new patients
Sia - Specialty Infusion LLC Past Accepting new patients
Shagalov Dermatology PA PastSince Aug 1, 2022 Accepting new patients

Locations

5511 S Congress Ave
Ste 115
Atlantis, FL 33462
Phone (561) 968-9003

2200 Glades Rd
Ste 304
Boca Raton, FL 33431
Phone (561) 955-7079

815 Coral Ridge Dr
Coral Springs, FL 33071
Phone (954) 361-1000

4331 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 237-3000

4700 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 961-3252

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22712/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1649335639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY STE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345724",
            "telephone_number": "305-393-8810",
            "fax_number": "305-393-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY STE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345724",
            "telephone_number": "305-393-8810",
            "fax_number": "305-393-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3659 S Miami Ave Ste 4002",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334231",
            "country_code": "US",
            "telephone_number": "305-393-8810",
            "fax_number": "305-393-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-01-14",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NC",
            "license": "2007-00143",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME91517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.