Gabriel Dib Taissoun, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11027767 Issued in FL

Practice address

2401 University Pkwy Ste 205
Sarasota, FL 34243-2973

Phone

(941) 351-1200

Fax

(941) 351-1201

NPI assigned

Aug 13, 2017

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Care Consultants PAGroup PAC ID 2264680768, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.86 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gdibtaissoun@retinacareflorida.intellechartdirect.net

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.

• Shane Retina, P.a.

  • Ophthalmology Physician
  • Sarasota, FL
  • NPI 1518213602
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1871018630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17523 CANTARINA CV",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342111126",
            "telephone_number": "321-900-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 205",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432973",
            "telephone_number": "941-351-1200",
            "fax_number": "941-351-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIB TAISSOUN",
        "first_name": "GABRIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-13",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrdalis Diaz-Ramirez, MD
• Adrienne Diaz
• Carlos A Diaz, MD
• Erik Diaz, M.D.
• Ryan Diaz
• Kenneth Michael Dicarlo, D.M.D.
• Gregory Thomas Dickinson, DDS
• Hiram Karl Dickinson, A.R.N.P.
• William Jeffrey Dickinson, D.D.S.
• Cristina Adriana Dickson, D.O.

• Family Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.