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GREGORY A. CISNEROS MD PA
NPI 1821242157
Family Medicine in Palm Coast, FL

Active since November 13, 2008
33 OLD KINGS RD N, SUITE 2, PALM COAST, FL 32137(386) 263-2718 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gregory A. Cisneros Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY A. CISNEROS MD PA (NPI 1821242157) is a healthcare organization registered as a family medicine in Palm Coast, Florida and active in the NPI registry since November 2008. The organization lists Gregorio A Cisneros, Owner, as its authorized official.

NPPES Registry Identity

NPI1821242157
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREGORY A. CISNEROS MD PA
Location Address33 OLD KINGS RD N, SUITE 2Palm Coast, FL 32137-8227
Mailing Address33 Old Kings Rd N, Suite 2Palm Coast, FL 32137-8227 · (386) 263-2718
Phone(386) 263-2718
Organization SubpartNo
Authorized OfficialGregorio A CisnerosOwner · (386) 263-2718
Enumeration DateNovember 13, 2008
✔ NPI 1821242157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME84611
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
33 OLD KINGS RD N, Palm Coast, FL 32137
Open in Google Maps ↗

Other Identifiers 1

OtherME84611FL · Owner State License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory A. Cisneros Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gregory A. Cisneros MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregorio Cisneros, MD
Family Practice
NPI 1801893854
17 OLD KINGS RD N STE J
Palm Coast, FL 32137
(386) 446-4141
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory A. Cisneros MD PA's NPI number?

The NPI number for Gregory A. Cisneros MD PA is 1821242157. It was assigned to this organization in the NPPES registry on November 13, 2008.

Where is Gregory A. Cisneros MD PA located?

Gregory A. Cisneros MD PA is located at 33 Old Kings Rd N Suite 2, Palm Coast, FL 32137. The listed phone number is (386) 263-2718.

What is Gregory A. Cisneros MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregory A. Cisneros MD PA enrolled in Medicare?

Yes. Gregory A. Cisneros MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gregory A. Cisneros MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Gregory A. Cisneros MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gregory A. Cisneros MD PA was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.