Individual provider Active NPI

Georgios Rossidis, MD

  • Surgery Physician
  • Ocala, FL
National Provider Identifier
1912128646
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME113218 Issued in FL
Practice address
4600 SW 46TH CT Ste 340
Ocala, FL 34474-5782
Phone
(352) 291-0239
Fax
(352) 291-0254
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X ME113218 FL Primary

Addresses

Primary practice location

4600 SW 46TH CT Ste 340
Ocala, FL 34474-5782

Mailing address

960 7TH Ave N
St Petersburg, FL 33705-1347
Phone (727) 821-8101

Other identifiers 1

IdentifierTypeStateIssuer
006106800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GEORGIOS.ROSSIDIS@hca5.eclinicaldirectplus.com

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
I20120815000109 FL Practitioner - General Surgery 5890941488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians

Practice addresses (Care Compare)

4600 SW 46TH CT
Ocala, FL 34474-5708
Phone (352) 291-3000

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, The Villages, FL, CCN 109581
  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

Merit-based Incentive Payment System (MIPS)

Final score
99.73 of 100Reported as individual
Quality
99.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Mastectomy23
Upper gastrointestinal (GI) endoscopy for acid reflux23
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113218FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Surgical Group LLC Surgery CurrentSince Jan 7, 2019 Accepting new patients

Locations

4600 SW 46th Ct
Ste 340
Ocala, FL 34474
Phone (352) 291-0239

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

4600 SW 46th Ct
Ste 220
Ocala, FL 34474
Phone (352) 237-4055

121 Lagrande Blvd
Ste B
The Villages, FL 32159
Phone (352) 291-0239

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1912128646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051347",
            "telephone_number": "727-821-8101",
            "fax_number": "727-825-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SW 46TH CT STE 340",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745782",
            "telephone_number": "352-291-0239",
            "fax_number": "352-291-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIDIS",
        "first_name": "GEORGIOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME113218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006106800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GEORGIOS.ROSSIDIS@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4600 SW 46th Ct Ste 340",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344745782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.