Gustavo Pantol

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME112370 Issued in FL

Practice address

1475 NW 12TH Ave
Miami, FL 33136-1002

Phone

(305) 243-5512

Fax

(305) 243-4613

NPI assigned

Jun 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Diagnostic Radiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

QMG, LLCGroup PAC ID 2961590435, 30 clinicians

Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
• Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
• HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
• HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
• HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

Merit-based Incentive Payment System (MIPS)

Final score

87.93 of 100Reported as group

Quality

78.79

Promoting interoperability

100

Improvement activities

40

Cost

71.44

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.25

Improvement activities

40

Cost

82.25

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: gpantol71551@direct.med.miami.edu

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.

• Intellirad Imaging, LLC

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1073859484
  Medicare reassignment Care Compare group NPD
• QMG, LLC

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1790079309

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Baptist Outpatient Services Inc

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1437127529
  Medicare reassignment NPD
• Radiology Consultants of Hollywood Inc

  • Radiology Clinic/Center
  • Hollywood, FL
  • NPI 1568565430

  Diagnostic Radiology

  Medicare reassignment NPD
• University of Miami

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment NPD
• Radiology Associates of South Florida LLC

  • Diagnostic Radiology Physician
  • Longview, TX
  • NPI 1699759183

  FL

  Medicare reassignment NPD
• Baptist Outpatient Services Inc

  • Home Infusion Therapy Pharmacy
  • Miami Lakes, FL
  • NPI 1316662299
  NPD
• University of Miami

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Hospital Corporation of South Broward

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1063466589
  Care Compare affiliation
• Kendall Healthcare Group, LTD.

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1710931522
  Care Compare affiliation
• Miami Beach Healthcare Group, LTD.

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673
  Care Compare affiliation
• Plantation General Hospital L P

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1144274317
  Care Compare affiliation
• Plantation General Hospital LP

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1023387479
  Care Compare affiliation
• West Florida Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  Care Compare affiliation

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1942594908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTOL",
        "first_name": "GUSTAVO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "248606",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME112370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlett Pantoja Monteagut, RBT
• Gleibys Zoila Pantoja Verdecia
• Liudmila Pantoja Zamora
• Antonio Pantoja, APRN
• Eloisa Pantoja
• Natalie B Panton, M.D.
• Samuel Panton
• Emily Panzner, ARNP
• Christine Pao, MD
• Joao Papadelis, APRN

• Diagnostic Radiology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.

Verify at the official NPI Registry.