Organization Active NPI

Tricounty Physicians, LLC

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1891084406
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRICOUNTY PHYSICIANS, LLC
Practice address
1507 Buenos Aires Blvd
The Villages, FL 32159-8974
Phone
(352) 350-1600
Fax
(350) 750-8032
NPI assigned
Apr 4, 2011
Last updated
Apr 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Dr. Nehme Gabriel, M.D
Title
Ceo
Phone
(407) 261-8930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1507 Buenos Aires Blvd
The Villages, FL 32159-8974

Mailing address

1507 Buenos Aires Blvd
The Villages, FL 32159-8974
Phone (352) 350-4133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000274 FL Part B Supplier - Clinic/Group Practice 9133394547 Receives reassigned benefits from 10 practitioners
Practice locations: The Villages, FL; Wildwood, FL

National Provider Directory

National Provider Directory
Tax ID family
Tricounty Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1891084406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 BUENOS AIRES BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598974",
            "telephone_number": "352-350-4133",
            "fax_number": "352-750-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BUENOS AIRES BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598974",
            "telephone_number": "352-350-1600",
            "fax_number": "350-750-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "NEHME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-261-8930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.