GABRIEL DIB TAISSOUN FNP-C
NPI 1871018630
Nurse Practitioner - Family in Sarasota, FL

Q: What is Gabriel Dib Taissoun's NPI number?

The NPI number for Gabriel Dib Taissoun is 1871018630. It was assigned to this individual provider in the NPPES registry on August 13, 2017.

Q: What is Gabriel Dib Taissoun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 13, 2017PECOS EnrolledAccepts Medicare Assignment

2401 UNIVERSITY PKWY STE 205, SARASOTA, FL 34243(941) 351-1200(941) 351-1201 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2023, Jul 21, 2022, Aug 13, 2017 (3 updates tracked since 2017).

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About Gabriel Dib Taissoun Fnp-c NPPES

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

GABRIEL DIB TAISSOUN FNP-C (NPI 1871018630) is an individual family provider in Sarasota, Florida, licensed in Florida (11027767) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871018630

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGABRIEL DIB TAISSOUNCredential: FNP-C

Location Address2401 UNIVERSITY PKWY STE 205Sarasota, FL 34243-2973

Mailing Address17523 Cantarina CvBradenton, FL 34211-1126 · (321) 900-9818

Phone(941) 351-1200

Fax(941) 351-1201

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 13, 2017

Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1871018630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11027767

2401 UNIVERSITY PKWY STE 205, Sarasota, FL 34243

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gabriel Dib Taissoun Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810350345

PECOS Enrollment IDI20230830003146

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gabriel Dib Taissoun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shane Retina, P.A.

Same address

Ophthalmology

2401 UNIVERSITY PKWY, BUILDING 1, SUITE 205
Sarasota, FL 34243

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1518213602 (941) 351-1200

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

130 services115 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

122 services114 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services65 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

45 services45 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

44 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KONICA SINGLA MD

Ophthalmology (Retina Specialist)

2401 UNIVERSITY PKWY STE 205
SARASOTA, FL 34243

Manatee County (267) 237-6153

AYAH TOUFICK ETYEM

Physician Assistant (Medical)

2401 UNIVERSITY PKWY STE 205
SARASOTA, FL 34243

Manatee County (941) 351-1200

MARIA CASTANOS TORAL MD

Ophthalmology (Retina Specialist)

2401 UNIVERSITY PKWY STE 205
SARASOTA, FL 34243

Manatee County (941) 351-1200

KAYLA FISCHER PA-C

Physician Assistant

2401 UNIVERSITY PKWY STE 205
SARASOTA, FL 34243

Manatee County (941) 351-1200

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 Gabriel Dib Taissoun's NPI number?

The NPI number for Gabriel Dib Taissoun is 1871018630. It was assigned to this individual provider in the NPPES registry on August 13, 2017.

Where is Gabriel Dib Taissoun located?

Gabriel Dib Taissoun practices at 2401 University Pkwy Ste 205, Sarasota, FL 34243. The listed phone number is (941) 351-1200.

What is Gabriel Dib Taissoun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gabriel Dib Taissoun enrolled in Medicare?

Yes. Gabriel Dib Taissoun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gabriel Dib Taissoun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriel Dib Taissoun reassigns Medicare benefits to Shane Retina, P.A. (Sarasota, FL). The 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 Gabriel Dib Taissoun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gabriel Dib Taissoun was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.