Active NPI
Gisele Regina Riscile, M.D.
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1720188055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME52249
- Practice address
- 3201 S Dale Mabry Hwy Ste 102
Tampa, FL 33629-7800 - Phone
- (813) 831-6000
- Fax
- (813) 831-6002
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME52249 | FL | Primary |
Addresses
Primary practice location
3201 S Dale Mabry Hwy Ste 102
Tampa, FL 33629-7800
Mailing address
3201 S Dale Mabry Hwy Ste 102
Tampa, FL 33629-7800
Phone (813) 831-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 6, 2016 through Jun 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720188055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 S DALE MABRY HWY STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297800",
"telephone_number": "813-831-6000",
"fax_number": "813-831-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S DALE MABRY HWY STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297800",
"telephone_number": "813-831-6000",
"fax_number": "813-831-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISCILE",
"first_name": "GISELE",
"middle_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME52249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.