Individual provider Active NPI

Ryan Stark Suplee, M.D.

  • Vascular Surgery Physician
  • Sarasota, FL
National Provider Identifier
1013232289
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME124998 Issued in FL
Practice address
3333 Cattlemen Rd Ste 206
Sarasota, FL 34232-6058
Phone
(941) 341-0042
NPI assigned
Mar 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 280720 NY
Vascular Surgery Physician 2086S0129X ME124998 FL Primary

Addresses

Primary practice location

3333 Cattlemen Rd Ste 206
Sarasota, FL 34232-6058

Mailing address

3333 Cattlemen Rd Ste 206
Sarasota, FL 34232-6058
Phone (941) 966-4374

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ryan.Suplee@img.directbygreenway.com Direct

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
I20180802002767 FL Practitioner - Vascular Surgery 8022328731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

3333 Cattlemen Rd
Suite 206
Sarasota, FL 34232-6058
Phone (941) 341-0042

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion81
Varicose vein removal36
Leg revascularization (restoring blood flow)65
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124998FLMDVascular Surgery Physician
280720NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc CurrentSince Aug 15, 2018 Accepting new patients

Locations

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

3333 Cattlemen Rd
Ste 206
Sarasota, FL 34232
Phone (941) 341-0042

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

Interoperability endpoints

  • Direct secure messaging: ryan.suplee@img.directbygreenway.com

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 4

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1013232289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-966-4374",
            "fax_number": "941-342-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-341-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPLEE",
        "first_name": "RYAN",
        "middle_name": "STARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "280720",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME124998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ryan.Suplee@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 Cattlemen Rd Ste 206",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342326058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.