Individual provider Active NPI

Ron Chatterjee, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1124292883
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME117651 Issued in FL
Practice address
2727 W Dr Martin Luther King Jr Blvd Ste 590
Tampa, FL 33607-6000
Phone
(813) 534-6269
Fax
(813) 870-0008
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME117651 FL Primary

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd Ste 590
Tampa, FL 33607-6000

Mailing address

2010 Soho Bay CT
Tampa, FL 33606
Phone (330) 348-4622

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
I20140103000915 FL Practitioner - Orthopedic SurgeryPractitioner - Physical Medicine and Rehabilitation 2961630553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joseph Spine PAGroup PAC ID 2860773017, 10 clinicians

Practice addresses (Care Compare)

2727 W Dr Martin Luther King Jr Blvd
Suite 590
Tampa, FL 33607-6000
Phone (813) 534-6269

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Spine, PA CurrentSince Mar 16, 2017 Accepting new patients

Locations

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

1840 Mease Dr
Ste 309
Safety Harbor, FL 34695
Phone (727) 216-1141

2727 W Mlk Blvd
Ste 590
Tampa, FL 33607
Phone (813) 534-6269

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 2

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1124292883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SOHO BAY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33606",
            "telephone_number": "330-348-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 590",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076000",
            "telephone_number": "813-534-6269",
            "fax_number": "813-870-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERJEE",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME117651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.