Individual provider Active NPI

Kristin C Roussillon, MD

  • Cardiovascular Disease Physician
  • Sarasota, FL
National Provider Identifier
1760604581
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME116245 Issued in FL
Practice address
5951 Cattleridge Ave
Sarasota, FL 34232-9801
Phone
(941) 379-1850
Fax
(941) 379-1855
NPI assigned
May 2, 2007
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME116245 FL Primary
Interventional Cardiology Physician 207RI0011X ME116245 FL

Addresses

Primary practice location

5951 Cattleridge Ave
Sarasota, FL 34232-9801

Mailing address

943 S Beneva Rd Ste 306
Sarasota, FL 34232-2499
Phone (941) 955-1108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin.Roussillon@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
I20130724000874 FL Practitioner - Cardiovascular Disease (Cardiology) 7517108145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

5951 Cattleridge Ave
Sarasota, FL 34232-9801
Phone (941) 379-1850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116245FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc Cardiovascular Disease CurrentSince Oct 6, 2025 Accepting new patients
West Florida Physician Network, LLC PastSince Nov 1, 2022 Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

5951 Cattleridge Ave
Sarasota, FL 34232
Phone (941) 379-1703

5951 Cattleridge Ave
Ste 100
Sarasota, FL 34232

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

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

Interoperability endpoints

  • Direct secure messaging: kristin.roussillon@img.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1760604581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S BENEVA RD STE 306",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322499",
            "telephone_number": "941-955-1108",
            "fax_number": "941-954-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 CATTLERIDGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342329801",
            "telephone_number": "941-379-1850",
            "fax_number": "941-379-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSILLON",
        "first_name": "KRISTIN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME116245",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME116245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.Roussillon@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5951 Cattleridge Ave",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342329801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.