Individual provider Active NPI

Ryan Gorecki

  • Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1104593607
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9114262 Issued in FL
Practice address
4300 Alton Rd Ste 2110
Miami Beach, FL 33140-2948
Phone
(310) 567-4278
NPI assigned
Aug 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9114262 FL Primary

Addresses

Primary practice location

4300 Alton Rd Ste 2110
Miami Beach, FL 33140-2948

Mailing address

4300 Alton Rd Ste 2110
Miami Beach, FL 33140-2948
Phone (305) 674-2780

Other practice location 1

999 SW 1st Ave Apt 1114
Miami, FL 33130-3421
Phone (630) 408-7902

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118000717 FL Practitioner - Physician Assistant 0143612499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
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)

4302 Alton Rd
Miami Beach, FL 33140-2818

4306 Alton Rd
2ND Floor
Miami Beach, FL 33140-2800

4310 Alton Rd
3Rd Floor
Miami Beach, FL 33140-2800
Phone (305) 535-3300

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034
  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9114262FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vilmed Inc CurrentSince Jan 27, 2026 Accepting new patients

Locations

9111 Park Dr
Miami Shores, FL 33138
Phone (305) 756-6110

Organizations & group practices 2

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1104593607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD STE 2110",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD STE 2110",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "310-567-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 SW 1st Ave Apt 1114",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331303421",
            "country_code": "US",
            "telephone_number": "630-408-7902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORECKI",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9114262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.