Individual provider Active NPI

Michael Robert Gombosh, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Miami, FL
National Provider Identifier
1720229768
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME123625 Issued in FL
Practice address
9165 SW 87TH Ave
Miami, FL 33176-2302
Phone
(305) 233-0011
Fax
(305) 233-0033
NPI assigned
Mar 22, 2009
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME123625 FL Primary

Addresses

Primary practice location

9165 SW 87TH Ave
Miami, FL 33176-2302

Mailing address

9165 SW 87TH Ave
Miami, FL 33176-2302
Phone (305) 233-0011

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
I20151019000486 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1052620853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida International Orthopaedics PAGroup PAC ID 1355522889, 3 clinicians

Practice addresses (Care Compare)

9165 SW 87TH Ave
Miami, FL 33176-2302
Phone (305) 233-0011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida International Orthopaedics PA Sports Medicine CurrentSince Aug 15, 2015 Accepting new patients

Locations

7600 SW 87th Ave
Ste 200
Miami, FL 33173
Phone (305) 591-8989

9165 SW 87th Ave
Miami, FL 33176
Phone (305) 233-0011

9380 SW 150th St
Ste 298B
Miami, FL 33176
Phone (305) 233-0011

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: michael.gombosh.1@17801.direct.athenahealth.com

Organizations & group practices 1

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 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": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1720229768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762302",
            "telephone_number": "305-233-0011",
            "fax_number": "305-233-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762302",
            "telephone_number": "305-233-0011",
            "fax_number": "305-233-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBOSH",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-22",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME123625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.