Individual provider Active NPI

Gerard Mosiello, M.D.

  • Specialist
  • Tampa, FL
National Provider Identifier
1982687836
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 79704 Issued in FL
Practice address
15243 Amberly Dr
Tampa, FL 33647-2155
Phone
(813) 631-1500
NPI assigned
Nov 23, 2005
Last updated
Jun 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 79704 FL Primary

Addresses

Primary practice location

15243 Amberly Dr
Tampa, FL 33647-2155

Mailing address

15243 Amberly Dr
Tampa, FL 33647-2155
Phone (813) 631-1500

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
I20100301000455 FL Practitioner - Plastic and Reconstructive Surgery 1456496561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15243 Amberly Dr
Tampa, FL 33647-2155
Phone (813) 631-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy80
Melanoma (skin cancer) excision252
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 79704FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Current Accepting new patients
Gerard C Mosiello MD PL Specialist CurrentSince Sep 14, 2010 Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

15243 Amberly Dr
Tampa, FL 33647
Phone (813) 416-5677

Interoperability endpoints

  • Direct secure messaging: gerard.mosiello@direct.moffitt.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1982687836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-631-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-631-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSIELLO",
        "first_name": "GERARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 79704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.