Individual provider Active NPI

Marisa S Kesselman, MD

  • Gastroenterology Physician
  • Lake Worth, FL
National Provider Identifier
1881629269
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0060547 Issued in FL
Practice address
6944 Lake Worth Rd
2ND Floor
Lake Worth, FL 33467-2948
Phone
(561) 434-0060
Fax
(561) 434-0598
NPI assigned
Jul 12, 2006
Last updated
Oct 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD26427 ME
Gastroenterology Physician 207RG0100X ME0060547 FL Primary

Addresses

Primary practice location

6944 Lake Worth Rd
2ND Floor
Lake Worth, FL 33467-2948

Mailing address

PO Box 740177
Boynton Beach, FL 33474-0177
Phone (561) 740-2900

Other practice location 1

6 Glen Cove Dr Ste 10
Rockport, ME 04856-4272
Phone (207) 301-8000

Other identifiers 1

IdentifierTypeStateIssuer
055256900MedicaidFL

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
I20100909000416 FL Practitioner - Gastroenterology 4587798103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

6135 Lake Worth Rd
Suite 100
Greenacres, FL 33463-3074
Phone (561) 434-0060

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Upper gastrointestinal (GI) endoscopy for acid reflux13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0060547FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients
Gastro Health LLC Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients

Locations

7270 W Boynton Beach Blvd
Ste 102
Boynton Beach, FL 33437
Phone (561) 738-5772

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

6135 Lake Worth Rd
Ste 100
Greenacres, FL 33463

601 University Blvd
Ste 207
Jupiter, FL 33458
Phone (561) 627-7766

6944 Lake Worth Rd
Fl 2
Lake Worth, FL 33467
Phone (561) 732-2900

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

Interoperability endpoints

  • Direct secure messaging: marisa.kesselman@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1881629269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740177",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334740177",
            "telephone_number": "561-740-2900",
            "fax_number": "561-434-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6944 LAKE WORTH RD",
            "address_2": "2ND FLOOR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672948",
            "telephone_number": "561-434-0060",
            "fax_number": "561-434-0598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Glen Cove Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564272",
            "country_code": "US",
            "telephone_number": "207-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSELMAN",
        "first_name": "MARISA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "MD26427",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0060547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055256900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.