Individual provider Active NPI

Gina Ambrose, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cumberland, MD
National Provider Identifier
1790044220
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
H0078884 Issued in MD
Practice address
157 Baltimore St Ste 100
Cumberland, MD 21502-2472
Phone
(301) 722-0484
Fax
(833) 903-0130
NPI assigned
May 3, 2012
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H0078884 MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X H0078884 MD Primary

Addresses

Primary practice location

157 Baltimore St Ste 100
Cumberland, MD 21502-2472

Mailing address

157 Baltimore St Ste 100
Cumberland, MD 21502-2472
Phone (301) 722-0484

Other identifiers 3

IdentifierTypeStateIssuer
0007MedicaidMD
124172100MedicaidFL
104461045-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL, OH, PA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20151020001124 MD Practitioner - Emergency Medicine 2466696935 Reassigns benefits to 2 organizations
I20231108001464 DC Practitioner - Emergency Medicine 2466696935 Reassigns benefits to 1 organization
I20240912004279 FL Practitioner - Emergency Medicine 2466696935 Reassigns benefits to 1 organization
I20241009003151 OH Practitioner - Emergency Medicine 2466696935
I20241206000136 PA Practitioner - Emergency Medicine 2466696935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novus Pain and Physical Medicine - Florida LLCGroup PAC ID 5496198699, 15 clinicians
Novus Pain Management - Maryland, LLCGroup PAC ID 7416255963, 8 clinicians

Practice addresses (Care Compare)

1189 W River Dr
Margate, FL 33063-3578
Phone (301) 722-0484

2700 Southaven Rd
Annapolis, MD 21401-7122
Phone (301) 722-0484

5770 Stirling Rd
Hollywood, FL 33021-1549
Phone (301) 722-0484

710 Obrecht Rd
Sykesville, MD 21784-7650
Phone (410) 795-8808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0078884MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Pain & Physical Medicine - Florida, LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Doctors Emergency Service, PA Single Specialty CurrentSince Jun 15, 2016 Accepting new patients
Novus Pain Management - Maryland, LLC Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Novus Pain Management,PC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations (25 of 58)

105 15th St E
Bradenton, FL 34208
Phone (941) 747-8681

6305 Cortez Rd W
Bradenton, FL 34210
Phone (941) 761-3499

1465 Oakfield Dr
Brandon, FL 33511
Phone (813) 505-4402

702 S Kings Ave
Brandon, FL 33511
Phone (813) 651-1818

1059 Virginia St
Dunedin, FL 34698
Phone (727) 733-6091

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

1835 Wilson St
Hollywood, FL 33020
Phone (561) 960-2020

2001 Polk St
Hollywood, FL 33020
Phone (954) 462-4445

5770 Stirling Rd
Hollywood, FL 33021
Phone (561) 960-2020

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

4927 Voorhees Rd
New Prt Rchy, FL 34653
Phone (727) 484-3326

3865 Tampa Rd
Oldsmar, FL 34677
Phone (516) 680-8080

2600 Highlands Blvd N
Palm Harbor, FL 34684
Phone (350) 250-2435

2401 NE 2nd St
Pompano Beach, FL 33062
Phone (954) 943-5100

295 SW 4th Ave
Pompano Beach, FL 33060
Phone (561) 960-2020

1410 Ml King St N
Safety Harbor, FL 34695

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

743 S Beneva Rd
Sarasota, FL 34232
Phone (941) 316-0151

9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520

9393 Park Blvd
Seminole, FL 33777
Phone (727) 319-2611

1820 Shore Dr S
South Pasadena, FL 33707
Phone (727) 384-9300

3636 10th Ave N
St Petersburg, FL 33713
Phone (727) 323-3611

48 High Point Rd
Tavernier, FL 33070
Phone (305) 853-0799

1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1790044220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST STE 100",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST STE 100",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "GINA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H0078884",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "H0078884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124172100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104461045-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.