Active NPI
Robert B Gibson, M.D.
- Cardiovascular Disease Physician
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME139276
- Practice address
- 511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328 - Phone
- (352) 728-6808
- Fax
- (352) 728-1743
- NPI assigned
- May 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN18479 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | ME139276 | FL | Primary |
Addresses
Primary practice location
511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328
Mailing address
511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328
Phone (352) 728-6808
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- East Tennessee State University Quillen College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 Kuhl Ave
Orlando, FL 32806-2008
Phone (407) 841-5111
Hospital & facility affiliations
- Pinnacle Home Care of the Villages Inc
- Uf Health Leesburg Hospital
- Villages Regional Hospital, the
- Orlando Health South Lake Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN18479 | FL | MD | Internal Medicine Physician |
| ME139276 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
511 Medical Plaza Dr
Ste 101
Leesburg, FL 34748
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1560 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 750-5000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rgibson33527@orlandohealth.medalliesdirect.net
- rgibson564269@direct.shands.ufl.edu
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- Home Health Agency
- The Villages, FL
- NPI 1982933321
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1962848382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR STE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487328",
"telephone_number": "352-728-6808",
"fax_number": "352-728-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR STE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487328",
"telephone_number": "352-728-6808",
"fax_number": "352-728-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-13",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN18479",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME139276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.