Active NPI
Manuel E Gordillo, MD
- Infectious Disease Physician
- Sarasota, FL
National Provider Identifier
1346347887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0062215
- Practice address
- 1425 S Osprey Ave
Ste 1
Sarasota, FL 34239-2900 - Phone
- (941) 366-9060
- Fax
- (941) 953-7076
- NPI assigned
- Sep 19, 2006
- Last updated
- Oct 14, 2019
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME0062215 | FL | Primary |
Addresses
Primary practice location
1425 S Osprey Ave
Ste 1
Sarasota, FL 34239-2900
Mailing address
1425 S Osprey Ave
Ste 1
Sarasota, FL 34239-2900
Phone (941) 366-9060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17711 | Other | FL | BCBS FL |
| 370875600 | Medicaid | FL |
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
- Infectious Disease
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1425 S Osprey Ave
Suite 1
Sarasota, FL 34239-2900
Phone 9413669060281
Hospital & facility affiliations
- Sarasota Memorial Homecare
- Empath Home Health
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.81 of 100
- Quality
- 77.84
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Diseases Associates PA | Current | Accepting new patients |
Locations
5504 Pinebrook Rd
Ste 104
Nokomis, FL 34275
Phone (941) 366-9060
1425 S Osprey Ave
Ste 1
Sarasota, FL 34239
Phone (941) 366-9060
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- manuel.gordillo.1@22664.direct.athenahealth.com
- https://api.platform.athenahealth.com/26765/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/22664/brand/1/csg/1/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sarasota, FL
- NPI 1518955772
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba Sarasota Memorial Home Care
- Home Health Agency
- Sarasota, FL
- NPI 1013915149
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1346347887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S OSPREY AVE",
"address_2": "STE 1",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392900",
"telephone_number": "941-366-9060",
"fax_number": "941-953-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S OSPREY AVE",
"address_2": "STE 1",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392900",
"telephone_number": "941-366-9060",
"fax_number": "941-953-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDILLO",
"first_name": "MANUEL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0062215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "17711",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370875600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.