Gus Mitsopoulos, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME119893 Issued in FL

Practice address

100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318

Phone

(813) 899-6220

Fax

(813) 985-8006

NPI assigned

Aug 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Diagnostic Radiology

Education

Albert Einstein College of Medicine of Yeshiva University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: gmitsopoulos296170@direct.tgh.org

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.

• Mori Bean and Brooks Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment Care Compare group NPD
• Medical Technology Transfer Corporation

  • Primary Care Clinic/Center
  • Melbourne, FL
  • NPI 1104947217
  Medicare reassignment NPD
• North Brevard Medical Support, Inc

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  Medicare reassignment NPD
• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1467654244
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495

  FL

  Medicare reassignment NPD
• Florida Diagnostic Imaging Center Inc

  • Diagnostic Radiology Physician
  • Panama City, FL
  • NPI 1225096936
  NPD
• Florida Diagnostic Imaging Center Inc

  • Diagnostic Radiology Physician
  • Pensacola, FL
  • NPI 1235197930
  NPD
• Medical Technology Transfer Corporation

  • Radiology Clinic/Center
  • Melbourne, FL
  • NPI 1215017710
  NPD
• Steward Medical Group, Inc

  • Diagnostic Ultrasound Physician
  • Melbourne, FL
  • NPI 1972073716
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Spring Hill, FL
  • NPI 1669267134
  NPD
• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Wimauma, FL
  • NPI 1881161826
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation
• Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1750669032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH ASHLEY DRIVE",
            "address_2": "SUITE 1500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025318",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ASHLEY DRIVE",
            "address_2": "SUITE 1500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025318",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSOPOULOS",
        "first_name": "GUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-03",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME119893",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME119893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012467100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Mitchell, PHARMD
• Toni Anita Mitchell, MD
• Shazia Mitha, MPHIL, AGACNP-BC, RN
• Adam Mitrani
• Louise Mitsianis, MA. CAP/RMHCI-9980
• Gayle A Mitura, ARNP
• Mixed Nuts Counseling Services LLC
• Jenna Riese Mixon, OTR/L
• Lisa Mizell
• Samantha Lynn Mizell, PA-C

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.