William Alfonso Gustave, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 111666 Issued in FL

Practice address

136 Jupiter Lakes Blvd
Jupiter, FL 33458-7180

Phone

(561) 741-5591

Fax

(561) 741-5641

NPI assigned

Sep 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• Pam Health Rehabilitation Hospital of Jupiter Inpatient rehabilitation facility, Jupiter, FL, CCN 103057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wgustave25450@jupitermedicalcenter.direct-ci.com

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.

• Jupiter Medical Center Physicians Group Inc

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1396992475
  Medicare reassignment Care Compare group NPD
• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Jacksonville Beach, FL
  • NPI 1346287182

  Family Medicine

  Medicare reassignment NPD
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  Medicare reassignment NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1427631696
  NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1942883061
  NPD
• Jupiter Medical Center Physicians Group Inc

  • Pediatric Surgery Physician
  • Jupiter, FL
  • NPI 1093344376
  NPD
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD
• Benaim Eye LLC

  • Ophthalmology Physician
  • Jupiter, FL
  • NPI 1144327131
  NPD (past)
• Kemwall Inpatient Services LLC

  • Hospitalist Physician
  • Sarasota, FL
  • NPI 1083849699
  NPD (past)
• Radiology Services of Jupiter Medical Specialists, LLC

  • Radiation Oncology Physician
  • Jupiter, FL
  • NPI 1306257894
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caresouth HHA Holdings of the Treasure Coast, LLC

  • Home Health Agency
  • Jupiter, FL
  • NPI 1780635540
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation
• Pam Rehabilitation Hospital of Jupiter LLC

  • Rehabilitation Hospital
  • Jupiter, FL
  • NPI 1548924293

  Inpatient rehabilitation facility

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1720312739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817737",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330811737",
            "telephone_number": "954-838-2371",
            "fax_number": "561-741-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JUPITER LAKES BLVD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587180",
            "telephone_number": "561-741-5591",
            "fax_number": "561-741-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAVE",
        "first_name": "WILLIAM",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME 111666",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 111666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.gustave@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "136 Jupiter Lakes Blvd",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334587180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.gustave@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "136 Jupiter Lakes Blvd",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334587180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gail D Guillory, LCSW
• Danielle Guinan, M.D.
• Vishal Kumar Gulati, MD
• Kevin Ronald Gulczewski, P.T.
• Hannah E Gunsalus
• Caroline Guterl
• Madeline Gutierrez
• Maurice Gutierrez, CASE MANAGER
• Roland Fernandez Gutierrez, MD
• Charlene A Gutzmore, P.A.-C

• Family Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.

Verify at the official NPI Registry.