Individual provider Active NPI

Gabriel Felix Delgado, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lakeland, FL
National Provider Identifier
1992776975
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2898 Issued in FL
Practice address
203 Kerneywood St
Lakeland, FL 33803-2947
Phone
(863) 686-1641
Fax
(863) 802-5693
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2898 FL Primary

Addresses

Primary practice location

203 Kerneywood St
Lakeland, FL 33803-2947

Mailing address

203 Kerneywood St
Lakeland, FL 33803-2947
Phone (863) 686-1641

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000405 FL Practitioner - Podiatry 6901706738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 Kerneywood St
Lakeland, FL 33803-2947

510 W Main St
Mid FL Footandankle
Bartow, FL 33830-3657
Phone (863) 686-1641

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of nail tissue180
Removal or shaving of skin growth149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2898FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriel F Delgado DPM PA Foot & Ankle Surgery CurrentSince Sep 18, 2000 Accepting new patients

Locations

510 W Main St
Bartow, FL 33830
Phone (863) 534-3668

1718 Mockingbird Ln
Lakeland, FL 33801
Phone (863) 272-1550

203 Kerneywood St
Lakeland, FL 33803
Phone (863) 398-3870

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1992776975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 KERNEYWOOD ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032947",
            "telephone_number": "863-686-1641",
            "fax_number": "863-802-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KERNEYWOOD ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032947",
            "telephone_number": "863-686-1641",
            "fax_number": "863-802-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "GABRIEL",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.