Active NPI
Marisa S Kesselman, MD
- Gastroenterology Physician
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0060547
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055256900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 65.4
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 32 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0060547 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health, LLC | Gastroenterology | Current | Accepting new patients |
| Gastro Health LLC | Gastroenterology | Current | 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
- 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.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.