Active NPI
Gisela Lisette Pereira, PA
- Physician Assistant
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9103388
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- South Miami Hospital
- West Kendall Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.49 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9103388 | FL | MD | Physician 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.
-
- Gynecologic Oncology Physician
- Miami, FL
- NPI 1093086902
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
-
- General Acute Care Hospital
- Miami, FL
- NPI 1417279936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.