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GUSTAVO F ROS MD PA
NPI 1548754963
Internal Medicine in Fort Walton Beach, FL

Active since June 19, 2018CLIA 10D2214396 · Waiver
965 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-3199(850) 863-3196 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gustavo F Ros Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTAVO F ROS MD PA (NPI 1548754963) is a healthcare organization registered as an internal medicine in Fort Walton Beach, Florida and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Gustavo F Ros, Owner, as its authorized official.

NPPES Registry Identity

NPI1548754963
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGUSTAVO F ROS MD PA
Location Address965 MAR WALT DRFort Walton Beach, FL 32547-6706
Mailing Address965 Mar Walt DrFort Walton Beach, FL 32547-6706 · (850) 863-3199 · Fax (850) 863-3196
Phone(850) 863-3199
Fax(850) 863-3196
Organization SubpartNo
Authorized OfficialGustavo F RosOwner · (850) 863-3199
Enumeration DateJune 19, 2018
Last NPPES UpdateSeptember 13, 2023
✔ NPI 1548754963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
965 MAR WALT DR, Fort Walton Beach, FL 32547
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gustavo F Ros Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gustavo F Ros MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gustavo Ros, M.D.
Internal Medicine
NPI 1912902982
965 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 863-3199
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2214396

Gustavo F Ros MD PA · Fort Walton Beach, FL
Active · expires Feb 21, 2027
CLIA Number10D2214396
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorGustavo F. Ros
Laboratory Phone(850) 863-3199
Laboratory LocationGustavo F Ros MD PA914 Marwalt Dr Ste C, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo F Ros MD PA's NPI number?

The NPI number for Gustavo F Ros MD PA is 1548754963. It was assigned to this organization in the NPPES registry on June 19, 2018.

Where is Gustavo F Ros MD PA located?

Gustavo F Ros MD PA is located at 965 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-3199.

What is Gustavo F Ros MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gustavo F Ros MD PA enrolled in Medicare?

Yes. Gustavo F Ros MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gustavo F Ros MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Gustavo F Ros MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gustavo F Ros MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2214396) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gustavo F Ros MD PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gustavo F Ros MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gustavo F Ros MD PA was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.