Individual provider Active NPI

Gerard Deib

  • Neuroradiology Physician
  • The Villages, FL
National Provider Identifier
1942535059
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
ME156411 Issued in FL
Practice address
910 Old Camp Rd Ste 180
The Villages, FL 32162-5605
Phone
(407) 680-2026
Fax
(407) 680-0911
NPI assigned
Oct 7, 2009
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME156411 FL Primary
Vascular & Interventional Radiology Physician 2085R0204X ME156411 FL

Addresses

Primary practice location

910 Old Camp Rd Ste 180
The Villages, FL 32162-5605

Mailing address

9835 Lake Worth Rd Ste 16-143
Lake Worth, FL 33467-2300
Phone (407) 680-2026

Other practice location 1

305 N Mangoustine Ave Ste 100
Sanford, FL 32771-1004
Phone (321) 376-5560

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
I20221128001644 FL Practitioner - Diagnostic Radiology 0648562447 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osceola Surgical Associates LLCGroup PAC ID 0840366126, 36 clinicians
Suncoast Spine and Pain Institute PLLCGroup PAC ID 1355847427, 2 clinicians

Practice addresses (Care Compare)

305 N Mangoustine Ave
Suite 100
Sanford, FL 32771-1004
Phone (407) 302-5520

910 Old Camp Rd
Suite 180
The Villages, FL 32162-5605
Phone (407) 680-2026

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.32 of 100Reported as group
Quality
75.8
Promoting interoperability
99
Improvement activities
40
Cost
63.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156411FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Oct 1, 2025 Accepting new patients
Suncoast Spine and Pain Institute PLLC Neuroradiology CurrentSince Sep 1, 2025 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Current Accepting new patients
Osceola Surgical Associates LLC CurrentSince Aug 6, 2022 Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

9835 Lake Worth Rd
Ste 16143
Lake Worth, FL 33467

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

305 N Mangoustine Ave
Ste 100
Sanford, FL 32771
Phone (407) 323-7821

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

910 Old Camp Rd
Ste 180
The Villages, FL 32162
Phone (352) 259-5234

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gerard.deib@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1942535059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 LAKE WORTH RD STE 16-143",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672300",
            "telephone_number": "407-680-2026",
            "fax_number": "407-680-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 180",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625605",
            "telephone_number": "407-680-2026",
            "fax_number": "407-680-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 N Mangoustine Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711004",
            "country_code": "US",
            "telephone_number": "321-376-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEIB",
        "first_name": "GERARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME156411",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME156411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.