Individual provider Active NPI

Gisele Portes Cruz

  • Nuclear Medicine Physician
  • North Weymouth, MA
National Provider Identifier
1669824389
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
35843 Issued in NE
Practice address
18 River View PL
North Weymouth, MA 02191-2218
Phone
(617) 462-0617
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME181552 FL
Nuclear Medicine Physician 207U00000X 35843 NE Primary
Diagnostic Radiology Physician 2085R0202X 282053 MA

Addresses

Primary practice location

18 River View PL
North Weymouth, MA 02191-2218

Mailing address

18 River View PL
North Weymouth, MA 02191-2218
Phone (174) 620-6176

Other practice location 1

20 Expedition Trl Ste 103
Gettysburg, PA 17325-8599
Phone (717) 337-5991

Other practice location 2

3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214
Phone (813) 875-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20200526001505 MA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 9931495827 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Medical Imaging LLCGroup PAC ID 0840265773, 38 clinicians
Radiology Associates PCGroup PAC ID 5698735181, 33 clinicians

Practice addresses (Care Compare)

North Weymouth, MA 02191
Phone (402) 484-6677

18 River View PL
North Weymouth, MA 02191-2218
Phone (402) 484-6677

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35843NEMDNuclear Medicine Physician
282053MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 30, 2020 Accepting new patients
Advanced Medical Imaging, LLC Diagnostic Radiology CurrentSince Sep 11, 2023 Accepting new patients
Radiology Associates PC Diagnostic Radiology CurrentSince Oct 9, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients
Orthopedic Care Specialists Inc Past Accepting new patients
Madonna Rehabilitation Hospital Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients

Locations

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

63 Main St
Brockton, MA 02301
Phone (508) 559-6696

822 Boylston St
Ste 102
Chestnut Hill, MA 02467
Phone (617) 396-8866

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

70 East St
Methuen, MA 01844
Phone (978) 682-1906

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

15 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (401) 490-1939

15 Roche Brothers Way
Ste 120
North Easton, MA 02356
Phone (508) 427-2602

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

143 Federal St
Weymouth, MA 02188
Phone (781) 340-2494

7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475

7555 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 261-1085

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

17500 Burke St
Omaha, NE 68118
Phone (402) 401-3000

Interoperability endpoints

  • FHIR API: https://fhir.madonna.org/R4/open-Prod

Organizations & group practices 7

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 5

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1669824389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RIVER VIEW PL",
            "city": "NORTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021912218",
            "telephone_number": "174-620-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RIVER VIEW PL",
            "city": "NORTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021912218",
            "telephone_number": "617-462-0617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Expedition Trl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173258599",
            "country_code": "US",
            "telephone_number": "717-337-5991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3402 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076214",
            "country_code": "US",
            "telephone_number": "813-875-3950",
            "fax_number": "813-872-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "GISELE",
        "middle_name": "PORTES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME181552",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NE",
            "license": "35843",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "282053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Weymouth, MA

Sources for this page

Verify at the official NPI Registry.