Active NPI
Brian J Roake, M.D.
- Anesthesiology Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME0073360
- Practice address
- 801 E 6TH St
Suite 205
Panama City, FL 32401-3661 - Phone
- (850) 785-3185
- Fax
- (850) 785-6233
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME0073360 | FL | Primary |
Addresses
Primary practice location
801 E 6TH St
Suite 205
Panama City, FL 32401-3661
Mailing address
801 E 6TH St
Suite 205
Panama City, FL 32401-3661
Phone (850) 785-3185
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35921 | Other | FL | BC/BS OF FL # |
| ME0073360 | Other | FL | FLORIDA LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of South Florida College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (850) 202-4700
615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511
7800 US Hwy 98 W
Miramar Beach, FL 32550-7228
Phone (850) 278-3000
8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 354-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0073360 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Anesthetist Services LLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
615 N Bonita Ave
Rm 254
Panama City, FL 32401
Phone (850) 785-3185
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191
767 Airport Rd
Panama City, FL 32405
Phone (850) 747-0400
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1770834426
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
dba Ascension Sacred Heart Bay
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1134226202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"address_2": "SUITE 205",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-785-3185",
"fax_number": "850-785-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"address_2": "SUITE 205",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-785-3185",
"fax_number": "850-785-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROAKE",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME0073360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FL #",
"identifier": "35921",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "ME0073360",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.