Individual provider Active NPI

Patrick Tengco Gatmaitan, M.D.

  • Surgery Physician
  • Pensacola, FL
National Provider Identifier
1699897538
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME116185 Issued in FL
Practice address
1890 Summit Blvd Ste 120
Pensacola, FL 32503-3357
Phone
(850) 416-2959
Fax
(850) 416-4865
NPI assigned
Apr 4, 2007
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME116185 FL Primary

Addresses

Primary practice location

1890 Summit Blvd Ste 120
Pensacola, FL 32503-3357

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other identifiers 1

IdentifierTypeStateIssuer
1023302310001MedicaidPA

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
I20131030001113 FL Practitioner - General Surgery 9032277801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

1890 Summit Blvd
Pensacola, FL 32503-3357
Phone (850) 416-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux32
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System Inc CurrentSince Dec 17, 2023 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 1, 2017 Accepting new patients
North Florida Surgeons, PA Surgery CurrentSince Jan 1, 2017 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Dec 17, 2023 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004

1717 N E St
Ste 434
Pensacola, FL 32501
Phone (850) 430-7101

1890 Summit Blvd
Pensacola, FL 32503
Phone (833) 419-1325

1890 Summit Blvd
Ste 120
Pensacola, FL 32503
Phone (850) 416-2959

4012 N 9th Ave
Pensacola, FL 32503
Phone (850) 444-4777

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5149 N 9th Ave
Ste G32
Pensacola, FL 32504
Phone (850) 416-0086

Interoperability endpoints

  • Direct secure messaging: patrick.gatmaitan.1@9582.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1699897538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SUMMIT BLVD STE 120",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033357",
            "telephone_number": "850-416-2959",
            "fax_number": "850-416-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATMAITAN",
        "first_name": "PATRICK",
        "middle_name": "TENGCO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME116185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023302310001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.