Individual provider Active NPI

David Gibaja, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1972669307
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME101121 Issued in FL
Practice address
581 NW 183Rd St
Miami, FL 33169-4469
Phone
(305) 651-1690
Fax
(305) 652-4457
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16302 PR
Family Medicine Physician 207Q00000X ME101121 FL Primary

Addresses

Primary practice location

581 NW 183Rd St
Miami, FL 33169-4469

Mailing address

581 NW 183Rd St
Miami, FL 33169-4469
Phone (305) 651-1690

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.gibaja@conviva.eclinicaldirectplus.com Direct

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
I20080923000583 FL Practitioner - Family Practice 2466531157 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101121FLMDFamily Medicine Physician
16302PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneplus Healthcare Group, LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Mar 16, 2009 Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

4850 W Oakland Park Blvd
Ste 148
Lauderdale Lakes, FL 33313
Phone (954) 735-1200

3670 W Oakland Park Blvd
Lauderdale Lakes, FL 33311
Phone (305) 717-8181

11120 SW 88th St
Ste 100
Miami, FL 33176
Phone (305) 279-0808

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

581 NW 183rd St
N Miami Beach, FL 33169
Phone (305) 651-1690

1604 Town Center Blvd
Ste A
Weston, FL 33326
Phone (954) 349-2094

Organizations & group practices 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1972669307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694469",
            "telephone_number": "305-651-1690",
            "fax_number": "305-652-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694469",
            "telephone_number": "305-651-1690",
            "fax_number": "305-652-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBAJA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16302",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.gibaja@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4850 W Oakland Park Blvd Ste 148",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333137277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.