Individual provider Active NPI

Thomas Keith Legare, M.D.

  • Anesthesiology Physician
  • Sarasota, FL
National Provider Identifier
1366437881
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME72189 Issued in FL
Practice address
2653 Stickney Point Rd
Sarasota, FL 34231-6019
Phone
(941) 342-8200
Fax
(941) 342-8201
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME72189 FL Primary

Addresses

Primary practice location

2653 Stickney Point Rd
Sarasota, FL 34231-6019

Mailing address

2653 Stickney Point Rd
Sarasota, FL 34231-6019
Phone (941) 342-8200

Other identifiers 2

IdentifierTypeStateIssuer
32726OtherFLBLUE CROSS BLUE SHIELD
251824400MedicaidFL

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
I20111129000242 FL Practitioner - Anesthesiology 5991712051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coral Anesthesia Associates, IncGroup PAC ID 5193986131, 47 clinicians

Practice addresses (Care Compare)

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME25764FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Anesthesia Associates, Inc Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Anesthesia Group of Sarasota PA Anesthesiology Past Accepting new patients

Locations

1750 Englewood Rd
Englewood, FL 34223
Phone (941) 473-1900

1879 Veterans Park Dr
Ste 1101
Naples, FL 34109
Phone (239) 248-7623

2621 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 444-5510

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

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 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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1366437881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 STICKNEY POINT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316019",
            "telephone_number": "941-342-8200",
            "fax_number": "941-342-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 STICKNEY POINT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316019",
            "telephone_number": "941-342-8200",
            "fax_number": "941-342-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGARE",
        "first_name": "THOMAS",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME72189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32726",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251824400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.