Gustavo Rafael Betancourt, MD
NPI 1407477649ActiveIndividual· Physician Assistant, Surgical· Kissimmee, FL
Physician Assistant, Surgical (MD) in Kissimmee, Florida, licensed in FL and NJ, with an NPI issued in April 2020.
Overview
| NPI | 1407477649 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 28, 2020 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 2026 |
| Reactivated | Mar 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 21-496 | FL |
| Family Medicine | 207Q00000X | NJDCATEMP015064 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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