Individual provider Active NPI

Gisela Lisette Pereira, PA

  • Physician Assistant
  • South Miami, FL
National Provider Identifier
1871675595
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9103388 Issued in FL
Practice address
6200 Sunset Dr
Ste 502
South Miami, FL 33143-4828
Phone
(305) 430-6969
Fax
(305) 397-1985
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9103388 FL Primary

Addresses

Primary practice location

6200 Sunset Dr
Ste 502
South Miami, FL 33143-4828

Mailing address

PO Box 742057
Atlanta, GA 30374-2057
Phone (786) 594-6880

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427001146 FL Practitioner - Physician Assistant 0042519928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHMG Gynecologic Oncology, LLCGroup PAC ID 4183875537, 16 clinicians

Practice addresses (Care Compare)

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-1960

9555 SW 162 Ave
Miami, FL 33196-6408
Phone (786) 467-2000

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
86.25
Promoting interoperability
99
Improvement activities
40
Cost
77.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9103388FLMDPhysician Assistant

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1871675595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742057",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742057",
            "telephone_number": "786-594-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR",
            "address_2": "STE 502",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-430-6969",
            "fax_number": "305-397-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "GISELA",
        "middle_name": "LISETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9103388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.