Individual provider Active NPI

Gary Pepper, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jupiter, FL
National Provider Identifier
1881608545
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME0070214 Issued in FL
Practice address
550 Heritage Dr
Suite 150
Jupiter, FL 33458-3029
Phone
(561) 659-6336
Fax
(561) 659-2150
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME0070214 FL Primary

Addresses

Primary practice location

550 Heritage Dr
Suite 150
Jupiter, FL 33458-3029

Mailing address

1515 N Flagler Dr
Suite 430
West Palm Beach, FL 33401-3428
Phone (561) 659-6336

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
I20100309000547 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 0042355455 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0070214FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Diabetes and Endocrine Specialists PA Endocrinology, Diabetes & Metabolism CurrentSince Sep 23, 1996 Accepting new patients

Locations

550 Heritage Dr
Ste 150
Jupiter, FL 33458
Phone (561) 954-5511

1515 N Flagler Dr
Ste 430
West Palm Beach, FL 33401

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBGIAA
  • Direct secure messaging: gary.pepper.1@17433.direct.athenahealth.com
  • Direct secure messaging: gpepper20594@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1881608545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR",
            "address_2": "SUITE 430",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013428",
            "telephone_number": "561-659-6336",
            "fax_number": "561-659-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HERITAGE DR",
            "address_2": "SUITE 150",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583029",
            "telephone_number": "561-659-6336",
            "fax_number": "561-659-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0070214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.