Individual provider Active NPI

Jesse Thomas McCann, MD PHD

  • Retina Specialist (Ophthalmology) Physician
  • Tampa, FL
National Provider Identifier
1124319066
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME132807 Issued in FL
Practice address
7522 N Himes Ave
Tampa, FL 33614-3205
Phone
(813) 931-0500
Fax
(813) 935-4055
NPI assigned
Apr 26, 2011
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME132807 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME132807 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 270516 NY

Addresses

Primary practice location

7522 N Himes Ave
Tampa, FL 33614-3205

Mailing address

7522 N Himes Ave
Tampa, FL 33614-3205
Phone (813) 931-0500

Other practice location 1

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020

Other identifiers 3

IdentifierTypeStateIssuer
4PPP5OtherFLFLORIDA BLUE
116287100MedicaidFL
021181600MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jmccann@useye.intellechartdirect.net
Direct Messaging Address jmccann@pradovision.intellechartdirect.com Antonio Prado MD PA
Direct Messaging Address jmccann@eapinellas.intellechartdirect.net Southeast Eye Institute, PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150717000470 NY Practitioner - Ophthalmology 4981917119 Reassigns benefits to 1 organization
I20170818000313 FL Practitioner - Ophthalmology 4981917119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antonio Prado MD PAGroup PAC ID 3072612506, 9 clinicians
Southeast Eye Institute PAGroup PAC ID 8224931993, 31 clinicians

Practice addresses (Care Compare)

7522 N Himes Ave
Prado Vision Center
Tampa, FL 33614-3205
Phone (813) 931-0500

9375 66TH St N
Pinellas Park, FL 33782-4418
Phone (727) 541-4469

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132807FLMDRetina Specialist (Ophthalmology) Physician
270516NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Antonio Prado MD PA Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 18, 2016 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Dec 18, 2016 Accepting new patients
Retina Associates of Sarasota PA Ophthalmology PastSince Sep 1, 2022 Accepting new patients

Locations

206 Buckingham Pl
Ste 102
Brandon, FL 33511
Phone (813) 653-2020

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

6950 Central Ave
Ste 120
St Petersburg, FL 33707
Phone (727) 343-3004

7522 N Himes Ave
Tampa, FL 33614
Phone (813) 931-0500

7524 N Himes Ave
Tampa, FL 33614
Phone (813) 514-8338

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

635 W 165th St
New York, NY 10032
Phone (212) 305-3039

635 W 165th St
#308
New York, NY 10032

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jmccann@pradovision.intellechartdirect.net
  • Direct secure messaging: jmccann@rgfla.intellechartdirect.net
  • Direct secure messaging: jmccann@useye.intellechartdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1124319066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143205",
            "telephone_number": "813-931-0500",
            "fax_number": "813-935-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143205",
            "telephone_number": "813-931-0500",
            "fax_number": "813-935-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 E Venice Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342859066",
            "country_code": "US",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "JESSE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME132807",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME132807",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "270516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "4PPP5",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116287100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021181600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccann@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1360 E Venice Ave",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342859066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccann@pradovision.intellechartdirect.com",
            "affiliation": "Y",
            "affiliationName": "Antonio Prado MD PA",
            "address_1": "7522 N Himes Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336143205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccann@eapinellas.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Southeast Eye Institute, PA",
            "address_1": "9375 66th St",
            "city": "Pinellas Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337824418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.