Active NPI
Sierra Vista Medical PA
- Internal Medicine Physician
- Saint Cloud, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SIERRA VISTA MEDICAL PA
- Practice address
- 3111 Innovation Dr
Saint Cloud, FL 34769-6501 - Phone
- (561) 961-4804
- NPI assigned
- Mar 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maryslenni Gil, MD
- Title
- Partner
- Phone
- (407) 593-2389
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3111 Innovation Dr
Saint Cloud, FL 34769-6501
Mailing address
3111 Innovation Dr
Saint Cloud, FL 34769-6501
Phone (407) 593-2389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220503002782 | FL | Part B Supplier - Clinic/Group Practice | 0941697304 |
Receives reassigned benefits from 3 practitioners Practice locations: Saint Cloud, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2275445 | Sierra Vista Medical PA | Certificate of waiver | Jan 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
3111 Innovation Dr
Saint Cloud, FL 34769
Phone (407) 593-2389
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Cloud, FL
- NPI 1275965683
FL, Internal Medicine
-
- Internal Medicine Physician
- Winter Garden, FL
- NPI 1578996468
FL, Internal Medicine
-
- Hospitalist Physician
- Orlando, FL
- NPI 1437582558
FL, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1437809555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 INNOVATION DR",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696501",
"telephone_number": "407-593-2389",
"fax_number": "407-305-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 INNOVATION DR",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696501",
"telephone_number": "561-961-4804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA VISTA MEDICAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "GIL",
"authorized_official_first_name": "MARYSLENNI",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "407-593-2389",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.