Individual provider Active NPI

Gerard Michael Dileo, MD

  • Obstetrics & Gynecology Physician
  • Sarasota, FL
National Provider Identifier
1689613861
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME95064 Issued in FL
Practice address
1918 Robinhood St.
Sarasota, FL 34231
Phone
(985) 630-0498
Fax
(941) 538-9415
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME95064 FL Primary

Addresses

Primary practice location

1918 Robinhood St.
Sarasota, FL 34231

Mailing address

1918 Robinhood St
Sarasota, FL 34231
Phone (985) 630-0498

Other identifiers 3

IdentifierTypeStateIssuer
275476200MedicaidFL
1313840MedicaidFL
52596OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14149LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lake Ascension, LLC Past Accepting new patients
Olol-Ascension Past Accepting new patients
Pelvic Pain Diagnostic and Treatment Center Obstetrics & Gynecology PastSince Mar 4, 2011 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1689613861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 ROBINHOOD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "985-630-0498",
            "fax_number": "941-538-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 ROBINHOOD ST.",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "985-630-0498",
            "fax_number": "941-538-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEO",
        "first_name": "GERARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME95064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275476200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1313840",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.