Jonathan S. Guirguis, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS12935 Issued in FL

Practice address

4759 US Highway 19
New Port Richey, FL 34652-4945

Phone

(727) 841-8772

Fax

(727) 842-4727

NPI assigned

Mar 20, 2012

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, TX, IL, GA, NY, NC, AZ, WY, SC9 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 9

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifemd Southern Patient Medical Care PCGroup PAC ID 7618311820, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.guirguis@337577483108356.direct.elationemr.com

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.

• Lifemd Southern Patient Medical Care PC

  • Clinic/Center
  • Orlando, FL
  • NPI 1417635921

  GA, TX

  Medicare reassignment Care Compare group
• Lifemd Atlantic Patient Medical Care PC

  • Clinic/Center
  • Hoboken, NJ
  • NPI 1164100657

  Internal Medicine, NC, SC, TX

  Medicare reassignment NPD
• Lifemd Kansas Patient Medical Care PA

  • Clinic/Center
  • Overland Park, KS
  • NPI 1073353850

  Internal Medicine, WY

  Medicare reassignment NPD
• Lifemd Midwest Patient Medical Care PC

  • Clinic/Center
  • Troy, MI
  • NPI 1497433734

  IL, Internal Medicine

  Medicare reassignment NPD
• New York Patient Medical Care PC

  • Multi-Specialty Clinic/Center
  • Rochester, NY
  • NPI 1629757919

  TX

  Medicare reassignment NPD
• Puopolo MD PC

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1477230928

  TX

  Medicare reassignment
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)
• SC Physicians LLC

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
  • NPI 1346549292
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1861767113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022211",
            "telephone_number": "727-824-0780",
            "fax_number": "813-514-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524945",
            "telephone_number": "727-841-8772",
            "fax_number": "727-842-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRGUIS",
        "first_name": "JONATHAN",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q9366",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Gubbini, MD
• Lorena Guevara Moreno, RBT
• Guided Management, Inc.
• Mitchell Hayden Guidry, PT, DPT
• Fady Guirguis, APRN
• Mina Guirguis
• Gulf Cardiology Associates
• Gulf Coast Dentistry LLC (A Safari Dental)
• Gulf Coast Jewish Family and Community Services, Inc.
• Gulf Coast Jewish Family Services

• Internal Medicine Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.