NPIMap

Individual provider Active NPI

Michelle Renee Gniady, M.D.

  • Surgery Physician
  • Sarasota, FL
National Provider Identifier
1407016454
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD442500 Issued in PA
Practice address
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone
(941) 342-8060
Fax
(941) 342-8691
NPI assigned
Jun 12, 2008
Last updated
Jan 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD442500 PA
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME115615 FL
Surgery Physician 208600000X MD442500 PA Primary
Surgery Physician 208600000X MT189472 PA
Surgery Physician 208600000X ME115615 FL

Addresses

Primary practice location

5731 Bee Ridge Rd
Sarasota, FL 34233

Mailing address

409 S 2ND St
Harrisburg, PA 17104-1612

Other practice location 1

2025 Technology Pkwy Ste G07
Mechanicsburg, PA 17050-9400
Phone (717) 791-2440

Other identifiers 2

IdentifierTypeStateIssuer
103679396MedicaidPA
010594900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgniady116107@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110803000468 PA Practitioner - General SurgeryPractitioner - Family PracticePractitioner - Plastic and Reconstructive SurgeryPractitioner - Peripheral Vascular Disease 6800065152 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice, Peripheral Vascular Disease, Plastic and Reconstructive Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-5638

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue204
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115615FLMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
MT189472PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Dec 11, 2019 Accepting new patients
Vohra Post Acute Care Physicians of the Northeast PA Family Medicine CurrentSince Sep 3, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 11, 2019 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Nov 28, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Nov 28, 2022 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Apr 1, 2020 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Family Medicine Past Accepting new patients
Surgical Care Specialists Inc Surgery Past Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

325 Sentry Pkwy
Bldg 5
Blue Bell, PA 19422
Phone (610) 277-3430

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Harrisburg, PA 17104
Phone (717) 230-3459

30 Hope Dr
Hershey, PA 17033
Phone (717) 531-3828

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

90 Good Dr
Ste 101
Lancaster, PA 17603
Phone (717) 299-3020

2025 Technology Pkwy
Ste G07
Mechanicsburg, PA 17050
Phone (717) 791-2440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CECJAA

Organizations & group practices 12

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.

Hospital & facility affiliations 10

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1407016454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-342-8060",
            "fax_number": "941-342-8691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Technology Pkwy Ste G07",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509400",
            "country_code": "US",
            "telephone_number": "717-791-2440",
            "fax_number": "717-791-2441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GNIADY",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD442500",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME115615",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD442500",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT189472",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME115615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103679396",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010594900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgniady116107@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2025 Technology Pkwy Ste G07",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170509400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.