Individual provider Active NPI

James Conrad Giebink, M.D., F.A.C.R.O.

  • Radiation Oncology Physician
  • Melbourne, FL
National Provider Identifier
1689652091
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME38372 Issued in FL
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

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
372245700MedicaidFL
040897200MedicaidFL
QG681OtherFLHFMG MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 7416100672, 701 clinicians
Omni Healthcare, IncGroup PAC ID 5496652380, 42 clinicians

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 Hospital, Melbourne, FL, CCN 100315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME38372FLMDDiagnostic Radiology Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC Diagnostic Radiology CurrentSince Jan 30, 2023 Accepting new patients
Health First Medical Group, LLC CurrentSince Jan 30, 2023 Accepting new patients
Cancer Care Centers of Brevard Inc Specialist CurrentSince Nov 1, 2022 Accepting new patients
Omni Healthcare, Inc. Specialist CurrentSince Mar 1, 2020 Accepting new patients
Siouxland Regional Cancer Center Radiation Oncology CurrentSince Nov 1, 2021 Accepting new patients
Cancer Care Centers of Brevard Inc Specialist CurrentSince Nov 1, 2022 Accepting new patients
North Brevard Medical Support, Inc PastSince Mar 1, 2020 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.

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

Verify at the official NPI Registry.