Active NPI
Gilda Melissa Portalatin, MD
- Nephrology Physician
- Atlantis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 167948
- Practice address
- 5503 S Congress Ave Ste 205
Atlantis, FL 33462-6626 - Phone
- (561) 965-7228
- NPI assigned
- Mar 31, 2019
- Last updated
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 167948 | FL | Primary |
Addresses
Primary practice location
5503 S Congress Ave Ste 205
Atlantis, FL 33462-6626
Mailing address
5503 S Congress Ave Ste 205
Atlantis, FL 33462-6626
Phone (561) 965-7228
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5503 S Congress Ave
Suite 205
Atlantis, FL 33462-6626
Phone (561) 965-7228
Hospital & facility affiliations
- FMC - Lake Clarke Shores Dialysis Center
- HCA Florida JFK Hospital
- Bethesda Hospital East
- Wellington Regional Medical Center
- HCA Florida Palms West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 70.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167948 | FL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians , LLC | Nephrology | Current | Accepting new patients |
| Florida Kidney Physicians, LLC | Nephrology | Current | Accepting new patients |
Locations
850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
5503 S Congress Ave
Ste 205
Lake Worth, FL 33462
Phone (561) 964-7511
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- gilda.portalatin.1@15644.direct.athenahealth.com
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Lake Clarke Shores Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Palm Beach, FL
- NPI 1215269923
Dialysis facility
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
dba HCA Florida JFK Hospital
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
-
dba HCA Florida Palms West Hospital
- General Acute Care Hospital
- Loxahatchee, FL
- NPI 1528014669
-
dba Wellington Regional Medical Center
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1144781139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 S CONGRESS AVE STE 205",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626626",
"telephone_number": "561-965-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 S CONGRESS AVE STE 205",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626626",
"telephone_number": "561-965-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTALATIN",
"first_name": "GILDA",
"middle_name": "MELISSA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-31",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "167948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.