Active NPI
Luis A Cisneros, MD
- Internal Medicine Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME99482
- Practice address
- 1000 36TH Av
Vero Beach, FL 32967 - Phone
- (772) 567-4311
- Fax
- (570) 693-2123
- NPI assigned
- Nov 6, 2006
- Last updated
- Oct 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME99482 | FL | Primary |
Addresses
Primary practice location
1000 36TH Av
Vero Beach, FL 32967
Mailing address
1000 36TH Av
Vero Beach, FL 32960
Phone (772) 567-4311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2257546 | Other | PA | AETNA |
| 001771032 | Medicaid | PA |
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
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
1190 37TH St
Vero Beach, FL 32960-6507
Phone (772) 567-4311
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME99482 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Indian River Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Internal Medicine Partners | Internal Medicine | Past | Accepting new patients |
Locations
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
2315 Aaron St
Port Charlotte, FL 33952
Phone (941) 613-2222
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1124074455
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Internal Medicine Physician
- West Wyoming, PA
- NPI 1700065042
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1184703399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 36TH AV",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-567-4311",
"fax_number": "772-794-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 36TH AV",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32967",
"telephone_number": "772-567-4311",
"fax_number": "570-693-2123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "LUIS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2023-10-27",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME99482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2257546",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001771032",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.