Individual provider Active NPI

George Fam Hakim Gobrial, MD

  • Cardiovascular Disease Physician
  • Kissimmee, FL
National Provider Identifier
1881002889
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME148519 Issued in FL
Practice address
601 Oak Commons Blvd
Kissimmee, FL 34741-6620
Phone
(407) 846-0626
Fax
(407) 846-2524
NPI assigned
Jul 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X ME148519 FL Primary

Addresses

Primary practice location

601 Oak Commons Blvd
Kissimmee, FL 34741-6620

Mailing address

601 Oak Commons Blvd
Kissimmee, FL 34741-6620
Phone (407) 846-0626

Other identifiers 1

IdentifierTypeStateIssuer
ME148519OtherFLMEDICAL LICENSE

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
I20210727000296 FL Practitioner - Cardiovascular Disease (Cardiology) 4284933375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Associates IncGroup PAC ID 2062300080, 18 clinicians

Practice addresses (Care Compare)

601 Oak Commons Blvd
Kissimmee, FL 34741-4213
Phone 4078460626239

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as individual
Quality
74.69
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148519FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Cardiovascular Associates Inc Cardiovascular Disease CurrentSince Jul 19, 2021 Accepting new patients

Locations

601 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 846-0626

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ggobrial295930@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFIAD

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1881002889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416620",
            "telephone_number": "407-846-0626",
            "fax_number": "407-846-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416620",
            "telephone_number": "407-846-0626",
            "fax_number": "407-846-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBRIAL",
        "first_name": "GEORGE",
        "middle_name": "FAM HAKIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME148519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME148519",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.