NPIMap

Individual provider Active NPI

Gustavo Plasencia, M.D.

  • Colon & Rectal Surgery Physician
  • Miami, FL
National Provider Identifier
1386723567
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME0031262 Issued in FL
Practice address
9195 Sunset Dr
Suite 230
Miami, FL 33173-3452
Phone
(786) 466-6960
Fax
(305) 279-1994
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0031262 FL
Colon & Rectal Surgery Physician 208C00000X ME0031262 FL Primary

Addresses

Primary practice location

9195 Sunset Dr
Suite 230
Miami, FL 33173-3452

Mailing address

9195 Sunset Dr
Suite 230
Miami, FL 33173-3452
Phone (786) 466-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000390 FL Practitioner - Colorectal Surgery (Proctology) 0244256550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31262FLMDRegistered Nurse
ME0031262FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2011 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2011 Accepting new patients
Mercy Physician Group Inc Surgery Past Accepting new patients

Locations

9195 Sunset Dr
Ste 230
Miami, FL 33173
Phone (305) 271-0300

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Networks

  • HealthSun Health Plans Network
  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 23

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

View all 23

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": "1412121600000",
    "number": "1386723567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 SUNSET DR",
            "address_2": "SUITE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733452",
            "telephone_number": "786-466-6960",
            "fax_number": "305-279-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 SUNSET DR",
            "address_2": "SUITE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733452",
            "telephone_number": "786-466-6960",
            "fax_number": "305-279-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "GUSTAVO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0031262",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME0031262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.