DR. MIKE VICTOR GHOBRIAL DO
NPI 1659959575
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Q: What is Mike Ghobrial's NPI number?

The NPI number for Mike Ghobrial is 1659959575. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Mike Ghobrial's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mike Ghobrial was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 31, 2021PECOS Enrolled

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-0411 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mike Victor Ghobrial Do NPPES

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

DR. MIKE VICTOR GHOBRIAL DO (NPI 1659959575) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659959575

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MIKE VICTOR GHOBRIALCredential: DO

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing Address655 W 8th StJacksonville, FL 32209-6511 · (904) 244-0411

Phone(904) 244-0411

Sole ProprietorNo

Enumeration DateMarch 31, 2021

NPPES CertifiedMarch 31, 2021

✔ NPI 1659959575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

655 W 8TH ST, Jacksonville, FL 32209

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mike Victor Ghobrial Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$17.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology