Active NPI
Richard Genato, M.D.
- Physical Medicine & Rehabilitation Physician
- Tampa, FL
National Provider Identifier
1366468282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME138051
- Practice address
- 2202 N West Shore Blvd Ste 140
Tampa, FL 33607-5759 - Phone
- (813) 575-5276
- NPI assigned
- Jul 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | D0063544 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME138051 | FL | Primary |
Addresses
Primary practice location
2202 N West Shore Blvd Ste 140
Tampa, FL 33607-5759
Mailing address
2002 Medical Parkway
Suite 150
Annapolis, MD 21401-3046
Phone (410) 571-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC622 | Other | FL | FIRST COAST |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210916001474 | FL | Practitioner - Physical Medicine and Rehabilitation | 5395737480 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
8768 SE 165TH Mulberry LN
The Villages, FL 32162-5861
Phone (352) 329-5237
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063544 | MD | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent Island Surgery Center LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Brian S Kahan DO PA | Pain Medicine | Past | Accepting new patients |
Locations
2002 Medical Pkwy
Ste 150
Annapolis, MD 21401
Phone (410) 266-6267
1630 Main St
Ste 215A
Chester, MD 21619
Phone (410) 571-9000
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.
-
- Pain Clinic/Center
- Chester, MD
- NPI 1033524855
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Annapolis, MD
- NPI 1831107200
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1366468282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MEDICAL PARKWAY",
"address_2": "SUITE 150",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-571-9000",
"fax_number": "410-571-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N WEST SHORE BLVD STE 140",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075759",
"telephone_number": "813-575-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENATO",
"first_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2022-03-17",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "D0063544",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME138051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST COAST",
"identifier": "OC622",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.