DR. GABRIEL ANTONIO WIDI (M.D.) – Neurological Surgery Physician, NPI 1639342926

DR. GABRIEL ANTONIO WIDI (M.D.) is a healthcare provider. based in Hialeah, Florida. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. ME122876 (FL). The NPI Number for DR. GABRIEL ANTONIO WIDI (M.D.) is 1639342926

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. GABRIEL ANTONIO WIDI (M.D.)
NPI
1639342926
Phone
(786) 534-7751
Address
777 E 25TH ST STE 302
Enumeration Date
8 April 2008
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7865347751
Graduation Year
2008 (18 years ago)
PAC ID
6608173430
Professional Enrollment ID
I20160322002770
Address ID
FL330133849HI777XXSTXX409
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

567 NEUROSURGERY in FL

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Provider Addresses for DR. GABRIEL ANTONIO WIDI (M.D.)

  • 777 E 25TH ST STE 302

    HIALEAH, FL 330133849

    Phone: (786) 534-7751

    Fax: (844) 361-9351

    Type: Mailing

  • 777, East 25th Street, Hialeah, Miami-Dade County, Florida, 33013, United States

    SUITE 308

    HIALEAH, FL 330133825

    Phone: (786) 534-7751

    Fax: (844) 361-9351

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,130.

Total Amount is formed as General ($1,130) + Research ($0) + Ownership ($0) = $1,130.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Spineology Inc. ($340).

Total Amount

$1,130

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160322002770INeurosurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33013)

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Reviews

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Frequently asked questions

Does DR. GABRIEL ANTONIO WIDI (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. GABRIEL ANTONIO WIDI (M.D.) uses 1639342926.
Is DR. GABRIEL ANTONIO WIDI (M.D.) still practicing?
DR. GABRIEL ANTONIO WIDI (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. GABRIEL ANTONIO WIDI (M.D.) hold?
Scheduling teams often label DR. GABRIEL ANTONIO WIDI (M.D.) under Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. GABRIEL ANTONIO WIDI (M.D.) list a practice location?
Patients near Hialeah, Florida may find DR. GABRIEL ANTONIO WIDI (M.D.) in results; validate coverage separately.
Why does DR. GABRIEL ANTONIO WIDI (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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