Individual provider Active NPI

Gisell Mansur, MD

  • Internal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1053833137
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME142680 Issued in FL
Practice address
836 Ponce de Leon Blvd Ste 204
Coral Gables, FL 33134-3068
Phone
(305) 441-0910
Fax
(305) 441-0920
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME142680 FL Primary

Addresses

Primary practice location

836 Ponce de Leon Blvd Ste 204
Coral Gables, FL 33134-3068

Mailing address

7944 SW 195TH Ter
Cutler Bay, FL 33157-8129

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730000791 FL Practitioner - General Practice 8527483163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

836 Ponce de Leon Blvd
Suite 204
Coral Gables, FL 33134-3068
Phone (305) 441-0910

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

836 Ponce de Leon Blvd
Ste 204
Coral Gables, FL 33134
Phone (305) 261-0001

200 Crandon Blvd
Ste 300
Miami, FL 33149
Phone (305) 361-1406

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1053833137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7944 SW 195TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PONCE DE LEON BLVD STE 204",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343068",
            "telephone_number": "305-441-0910",
            "fax_number": "305-441-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSUR",
        "first_name": "GISELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME142680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.