Active NPI
James Conrad Giebink, M.D., F.A.C.R.O.
- Radiation Oncology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME38372
- Practice address
- 1130 Hickory St Ste a
Melbourne, FL 32901-1973 - Phone
- (321) 409-1956
- Fax
- (321) 409-1253
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | ME38372 | FL | |
| Radiation Oncology Physician | 2085R0001X | ME38372 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME38372 | FL |
Addresses
Primary practice location
1130 Hickory St Ste a
Melbourne, FL 32901-1973
Mailing address
1033 Florida Ave S
Rockledge, FL 32955-2138
Phone (321) 632-0351
Other practice location 1
1033 Florida Ave S
Rockledge, FL 32955-2138
Phone (321) 632-0351
Other practice location 2
8725 N Wickham Rd Ste 103
Melbourne, FL 32940-2240
Phone (321) 253-4673
Other practice location 3
793 Eastern Byp Ste G02
Richmond, KY 40475-2423
Phone (859) 626-0074
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372245700 | Medicaid | FL | |
| 040897200 | Medicaid | FL | |
| QG681 | Other | FL | HFMG MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110419000173 | FL | Practitioner - Radiation Oncology | 6002838646 | Reassigns benefits to 3 organizations |
| I20210924000610 | IA | Practitioner - Radiation Oncology | 6002838646 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health First Medical Group, LLCOmni Healthcare, Inc
Practice addresses (Care Compare)
1130 Hickory St
Melbourne, FL 32901-1973
Phone (321) 725-4500
845 Century Medical Dr
Suite a
Titusville, FL 32796-2157
Phone (321) 529-6102
Hospital & facility affiliations
- Viera Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME38372 | FL | MD | Diagnostic Radiology Physician |
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Cancer Care Centers of Brevard Inc | Specialist | Current | Accepting new patients |
| Omni Healthcare, Inc. | Specialist | Current | Accepting new patients |
| Siouxland Regional Cancer Center | Radiation Oncology | Current | Accepting new patients |
| Cancer Care Centers of Brevard Inc | Specialist | Current | Accepting new patients |
| North Brevard Medical Support, Inc | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1130 Hickory St
Melbourne, FL 32901
Phone (321) 409-1956
2290 W Eau Gallie Blvd
Ste 202
Melbourne, FL 32935
Phone (321) 254-4776
1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032
1130 Hickory St
Ste A
Melbourne, FL 32901
Phone (321) 409-1956
1430 Pine St
Melbourne, FL 32901
Phone (321) 952-0898
215 Cone Rd
Merritt Island, FL 32952
Phone (561) 589-1995
20 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 725-8300
1048 Harvin Way
Rockledge, FL 32955
Phone (321) 636-2111
1038 Harvin Way
Ste 120
Rockledge, FL 32955
Phone (321) 636-2111
13050 US Highway 1
Sebastian, FL 32958
Phone (561) 589-1995
845 Century Medical Dr
Ste A
Titusville, FL 32796
Phone (321) 529-6102
8725 N Wickham Rd
Ste 103
Viera, FL 32940
Phone (321) 253-4673
230 Nebraska St
Sioux City, IA 51101
Phone (712) 252-9381
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 9
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Diagnostic Radiology, FL
-
- Hematology & Oncology Physician
- Sioux City, IA
- NPI 1114904604
IA, Radiation Oncology
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1831738392
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1932748423
-
- Specialist
- Sebastian, FL
- NPI 1013176940
-
- Multi-Specialty Clinic/Center
- Titusville, FL
- NPI 1609834886
Hospital & facility affiliations 1
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": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1689652091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 FLORIDA AVE S",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552138",
"telephone_number": "321-632-0351",
"fax_number": "321-361-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 HICKORY ST STE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011973",
"telephone_number": "321-409-1956",
"fax_number": "321-409-1253"
}
],
"practiceLocations": [
{
"address_1": "1033 Florida Ave S",
"address_purpose": "LOCATION",
"city": "Rockledge",
"state": "FL",
"postal_code": "329552138",
"country_code": "US",
"telephone_number": "321-632-0351",
"fax_number": "321-361-6962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8725 N Wickham Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329402240",
"country_code": "US",
"telephone_number": "321-253-4673",
"fax_number": "321-253-4338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "793 Eastern Byp Ste G02",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404752423",
"country_code": "US",
"telephone_number": "859-626-0074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIEBINK",
"first_name": "JAMES",
"middle_name": "CONRAD",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.R.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "FL",
"license": "ME38372",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME38372",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME38372",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372245700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040897200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFMG MA",
"identifier": "QG681",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.