NPIMap

Individual provider Active NPI

William Richard Gelinas, DO

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Crystal River, FL
National Provider Identifier
1851397749
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
058292 Issued in FL
Practice address
11535 W Emerald Oaks Dr
Crystal River, FL 34428-2815
Phone
(352) 794-6191
Fax
(352) 794-6193
NPI assigned
Jun 24, 2005
Last updated
Nov 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 058292 FL Primary

Addresses

Primary practice location

11535 W Emerald Oaks Dr
Crystal River, FL 34428-2815

Mailing address

11535 W Emerald Oaks Dr
Crystal River, FL 34428-2815
Phone (352) 794-6191

Other identifiers 1

IdentifierTypeStateIssuer
260728000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405001169 FL Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic Surgery 5092999680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery, Thoracic Surgery
Education
University of New England, College of Osteo Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11503 W Emerald Oaks Dr
Crystal River, FL 34428-2815
Phone (352) 576-5080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.31 of 100Reported as individual
Quality
50.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue585
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058292FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Suncoast Vascular & General Surgery PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 3, 2015 Accepting new patients
Nature Coast Foot and Ankle Center LLC PastSince Jan 4, 2001 Accepting new patients

Locations

11535 W Emerald Oaks Dr
Crystal River, FL 34428
Phone (352) 794-6191

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11626/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: wgelinas297122@direct.tgh.org
  • Direct secure messaging: william.gelinas.1@11626.direct.athenahealth.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 5

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1851397749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11535 W EMERALD OAKS DR",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344282815",
            "telephone_number": "352-794-6191",
            "fax_number": "352-794-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11535 W EMERALD OAKS DR",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344282815",
            "telephone_number": "352-794-6191",
            "fax_number": "352-794-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELINAS",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "058292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260728000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.