Individual provider Active NPI

Mitchell F Gaj, D.C.

  • Chiropractor
  • Winter Park, FL
National Provider Identifier
1811958473
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5116 Issued in FL
Practice address
1936 Lee Rd Ste 137
Winter Park, FL 32789-7201
Phone
(407) 423-0038
NPI assigned
Mar 31, 2006
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5116 FL Primary

Addresses

Primary practice location

1936 Lee Rd Ste 137
Winter Park, FL 32789-7201

Mailing address

1936 Lee Rd Ste 137
Winter Park, FL 32789-7201
Phone (407) 423-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000096 FL Practitioner - Chiropractic 4880613645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Integrated Medical CenterGroup PAC ID 1759718737, 3 clinicians

Practice addresses (Care Compare)

1936 Lee Rd
Suite 137
Winter Park, FL 32789-7201
Phone (407) 637-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Integrated Medical Center CurrentSince Jul 10, 2023 Accepting new patients
James K Shea MD Inc PastSince Jul 18, 2017 Accepting new patients
Health 1St Medical and Rehabilitation LLC PastSince Mar 21, 2018 Accepting new patients

Locations

1936 Lee Rd
Ste 137
Winter Park, FL 32789
Phone (407) 637-8300

Organizations & group practices 3

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1811958473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 LEE RD STE 137",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897201",
            "telephone_number": "407-423-0038",
            "fax_number": "407-992-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 LEE RD STE 137",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897201",
            "telephone_number": "407-423-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJ",
        "first_name": "MITCHELL",
        "middle_name": "F",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.