Individual provider Active NPI

Robert G Marcantonio, MD

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1124091533
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME49515 Issued in FL
Practice address
3333 Cattlemen Rd
Suite 208
Sarasota, FL 34232-6056
Phone
(941) 379-5121
Fax
(941) 379-4239
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME49515 FL Primary

Addresses

Primary practice location

3333 Cattlemen Rd
Suite 208
Sarasota, FL 34232-6056

Mailing address

3333 Cattlemen Rd
Suite 208
Sarasota, FL 34232-6056
Phone (941) 379-5121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crpcpdsm@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
I20050114000755 FL Practitioner - Internal Medicine 1153370234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

3333 Cattlemen Rd
Suite 208
Sarasota, FL 34232-6058
Phone (941) 379-5121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc Internal Medicine CurrentSince Jan 15, 2005 Accepting new patients
SMH Physician Services Inc Internal Medicine Past Accepting new patients

Locations

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

3333 Cattlemen Rd
Ste 208
Sarasota, FL 34232
Phone (941) 379-5121

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

Interoperability endpoints

  • Direct secure messaging: crpcpdsm@img.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1124091533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD",
            "address_2": "SUITE 208",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326056",
            "telephone_number": "941-379-5121",
            "fax_number": "941-379-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD",
            "address_2": "SUITE 208",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326056",
            "telephone_number": "941-379-5121",
            "fax_number": "941-379-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTONIO",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME49515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crpcpdsm@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 Cattlemen Rd",
            "address_2": "Suite 208",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342326056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.