Individual provider Active NPI

Anthony Riso, MD

  • Anesthesiology Physician
  • Boca Raton, FL
National Provider Identifier
1073578241
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME45338 Issued in FL
Practice address
771 NE 33Rd St
Boca Raton, FL 33431-6127
Phone
(561) 247-1020
Fax
(954) 510-2060
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME45338 FL Primary

Addresses

Primary practice location

771 NE 33Rd St
Boca Raton, FL 33431-6127

Mailing address

771 NE 33Rd St
Boca Raton, FL 33431-6127
Phone (561) 247-1020

Other identifiers 1

IdentifierTypeStateIssuer
048418100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1073578241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 NE 33RD ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316127",
            "telephone_number": "561-247-1020",
            "fax_number": "954-510-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 NE 33RD ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316127",
            "telephone_number": "561-247-1020",
            "fax_number": "954-510-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISO",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME45338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048418100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.