Individual provider Active NPI

Phyllis Elsishans, MD

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1760454466
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME84894 Issued in FL
Practice address
2881 Hyde Park St
Sarasota, FL 34239-3228
Phone
(941) 366-5440
Fax
(941) 366-5793
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME84894 FL Primary

Addresses

Primary practice location

2881 Hyde Park St
Sarasota, FL 34239-3228

Mailing address

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 366-5440

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Phyllis.Elsishans@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100201000137 FL Practitioner - Internal Medicine 2567505449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

11661 State Rd 70
Lakewood Ranch, FL 34202-9416
Phone (941) 222-0321

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 366-2460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84894FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc Internal Medicine CurrentSince Nov 12, 2009 Accepting new patients

Locations

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

2881 Hyde Park St
#2
Sarasota, FL 34239

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

2881 Hyde Park St
Sarasota, FL 34239
Phone (941) 366-2460

Interoperability endpoints

  • Direct secure messaging: phyllis.elsishans@img.directbygreenway.com

Organizations & group practices 1

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 3

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1760454466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 HYDE PARK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393228",
            "telephone_number": "941-366-5440",
            "fax_number": "941-366-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 HYDE PARK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393228",
            "telephone_number": "941-366-5440",
            "fax_number": "941-366-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSISHANS",
        "first_name": "PHYLLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Phyllis.Elsishans@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2881 Hyde Park St",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342393228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.