Individual provider Active NPI

Jose Alexei Gascon, M.D.

  • Internal Medicine Physician
  • Doral, FL
National Provider Identifier
1922218841
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME103308 Issued in FL
Practice address
10725 NW 58TH St Ste C-7
Doral, FL 33178-2801
Phone
(305) 629-9644
Fax
(305) 629-9630
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME103308 FL Primary

Addresses

Primary practice location

10725 NW 58TH St Ste C-7
Doral, FL 33178-2801

Mailing address

10725 NW 58TH St Ste C-7
Doral, FL 33178-2801
Phone (305) 629-9644

Other identifiers 1

IdentifierTypeStateIssuer
001367200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOSE.GASCON@hca4.eclinicaldirectplus.com

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
I20091021000410 FL Practitioner - Internal Medicine 9830236082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aventura Healthcare Specialists, LLCGroup PAC ID 2860542826, 22 clinicians

Practice addresses (Care Compare)

10725 NW 58TH St
Doral, FL 33178-2801
Phone (305) 629-9644

3661 S Miami Ave
Suite 301
Miami, FL 33133-4232
Phone (305) 285-2787

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aventura Healthcare Specialists, LLC CurrentSince Feb 8, 2016 Accepting new patients

Locations

10725 NW 58th St
Ste C7
Doral, FL 33178
Phone (305) 629-9644

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

11880 SW 40th St
Ste 101
Miami, FL 33175
Phone (305) 485-4677

3661 S Miami Ave
Ste 301
Miami, FL 33133
Phone (305) 285-2787

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1922218841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 NW 58TH ST STE C-7",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "telephone_number": "305-629-9644",
            "fax_number": "305-629-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 NW 58TH ST STE C-7",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "telephone_number": "305-629-9644",
            "fax_number": "305-629-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASCON",
        "first_name": "JOSE",
        "middle_name": "ALEXEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001367200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOSE.GASCON@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10725 NW 58th St Ste C-7",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331782801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.