Individual provider Active NPI

Rimantas Zalepuga, MD

  • Gastroenterology Physician
  • Bradenton, FL
National Provider Identifier
1316977499
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME85682 Issued in FL
Practice address
4502 Cortez Rd W Ste 204
Bradenton, FL 34210-3124
Phone
(941) 761-1800
Fax
(941) 761-1883
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME85682 FL Primary

Addresses

Primary practice location

4502 Cortez Rd W Ste 204
Bradenton, FL 34210-3124

Mailing address

PO Box 15089
Bradenton, FL 34280-5089
Phone (941) 761-1800

Other identifiers 10

IdentifierTypeStateIssuer
260276800MedicaidFL
51465OtherFLBCBS
7339369OtherFLAETNA
0290909OtherFLCIGNA
200793285001OtherFLMEDICAL MUTUAL
209289OtherFLSTAYWELL HEALTHEASE WELLC
AA84799OtherFLHARVARD PILGRIM HPHC
115965OtherFLHEALTHPARTNERS
P00149433OtherFLRAIL ROAD MEDICARE
315103OtherFLAMERIGROUP VA

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
I20040628001453 FL Practitioner - GastroenterologyPractitioner - General Surgery 7517943723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Specialist of Manatee PLGroup PAC ID 1951387158, 3 clinicians

Practice addresses (Care Compare)

4502 Cortez Rd W
Suite 204
Bradenton, FL 34210-3124
Phone (941) 761-1800

Hospital & facility affiliations

  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Merit-based Incentive Payment System (MIPS)

Final score
96.85 of 100Reported as individual
Quality
93.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85682FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Surgery Center Inc CurrentSince Mar 14, 2010 Accepting new patients
Anesthesia Services of Manatee LLC CurrentSince Sep 1, 2019 Accepting new patients
Digestive Disease Specialist of Manatee PL Gastroenterology CurrentSince Feb 26, 2004 Accepting new patients

Locations

5817 21st Ave W
Bradenton, FL 34209
Phone (941) 794-0379

4502 Cortez Rd W
Ste 204
Bradenton, FL 34210
Phone (941) 761-1800

5715 21st Ave W
Bradenton, FL 34209
Phone (941) 346-6460

5715 21st Ave W
#D
Bradenton, FL 34209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1316977499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15089",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342805089",
            "telephone_number": "941-761-1800",
            "fax_number": "941-761-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 CORTEZ RD W STE 204",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103124",
            "telephone_number": "941-761-1800",
            "fax_number": "941-761-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALEPUGA",
        "first_name": "RIMANTAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME85682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260276800",
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7339369",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0290909",
            "state": "FL"
        },
        {
            "code": "01",
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            "issuer": "MEDICAL MUTUAL",
            "identifier": "200793285001",
            "state": "FL"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL HEALTHEASE WELLC",
            "identifier": "209289",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HPHC",
            "identifier": "AA84799",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "115965",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00149433",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP VA",
            "identifier": "315103",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.