Individual provider Active NPI

Ryan M Tarantola, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pensacola, FL
National Provider Identifier
1316094139
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME113112 Issued in FL
Practice address
5150 N Davis Hwy
Pensacola, FL 32503-2030
Phone
(850) 476-6759
Fax
(850) 484-5222
NPI assigned
Jan 4, 2007
Last updated
Feb 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.127883 IL
Ophthalmology Physician 207W00000X 2011011567 MO
Ophthalmology Physician 207W00000X ME113112 FL
Ophthalmology Physician 207W00000X 38326 IA
Ophthalmology Physician 207W00000X MD31780 AL
Retina Specialist (Ophthalmology) Physician 207WX0107X MD31780 AL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME113112 FL Primary

Addresses

Primary practice location

5150 N Davis Hwy
Pensacola, FL 32503-2030

Mailing address

5150 N Davis Hwy
Pensacola, FL 32503-2030
Phone (850) 476-6759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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
I20120730000745 FL Practitioner - Ophthalmology 6204988439 Reassigns benefits to 1 organization
I20120801000031 AL Practitioner - Ophthalmology 6204988439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunil Gupta MD LLCGroup PAC ID 9032005855, 10 clinicians

Practice addresses (Care Compare)

411 N Section St
Fairhope, AL 36532-2649
Phone (855) 573-8462

5150 N Davis Hwy
Pensacola, FL 32503-2030
Phone (850) 476-6759

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.127883ILMDOphthalmology Physician
ME113112FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Retina Specialists, PC Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rtarantola@retspec.intellechartdirect.net

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, 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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1316094139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032030",
            "telephone_number": "850-476-6759",
            "fax_number": "850-484-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032030",
            "telephone_number": "850-476-6759",
            "fax_number": "850-484-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTOLA",
        "first_name": "RYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.127883",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2011011567",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME113112",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "38326",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD31780",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AL",
            "license": "MD31780",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME113112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.