Dario Aquiles Grisales, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME79046 Issued in FL

Practice address

16542 N Dale Mabry Hwy
Tampa, FL 33618-1325

Phone

(813) 908-7868

Fax

(813) 908-8091

NPI assigned

Nov 21, 2005

Last updated

May 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

89.44

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pan American Pain Institute PL

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1023195658
  Medicare reassignment NPD Authorized official
• Functional Evaluation Testing of Florida, Inc

  • Neurology Physician
  • Boca Raton, FL
  • NPI 1255533618
  NPD (past)
• North Tampa Anesthesia Consultants

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1144216433
  NPD (past)
• Ultimate Anesthesiology LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1972521425
  NPD (past)
• Florida Gulf-to-Bay Anesthesiology Associates, LLC

  • Anesthesiology Physician
  • Evansville, IN
  • NPI 1083665426
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1407839806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "813-908-7868",
            "fax_number": "813-908-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "813-908-7868",
            "fax_number": "813-908-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISALES",
        "first_name": "DARIO",
        "middle_name": "AQUILES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME79046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00246786",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03185",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Grimsich, M.D.
• Adriana Calida Grinnage
• Lindsey Raeann Grinstead, PHARMD
• Payton Gripp, APRN
• Hannah Grisack
• Lori D Grismore, OT
• Alexandra Grob, D.O.
• Stacey Grocke
• Lewis Groden, MD
• Seriah Groen-Hoeksema, DO

• Interventional Pain Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.

Verify at the official NPI Registry.