Active NPI
Paul Angelo Tarantino, M.D.
- Specialist
- Glen Burnie, MD
National Provider Identifier
1366475089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D43467
- Practice address
- 806 Landmark Dr
Suite 114
Glen Burnie, MD 21061-4980 - Phone
- (410) 590-9260
- Fax
- (410) 590-9266
- NPI assigned
- Jul 8, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | D43467 | MD | Primary |
Addresses
Primary practice location
806 Landmark Dr
Suite 114
Glen Burnie, MD 21061-4980
Mailing address
806 Landmark Drive
Suite 114
Glen Burnie, MD 21061-4980
Phone (410) 590-9260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20120312000739 | MD | Practitioner - Ophthalmology | 8123062973 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Baltimore University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paul a Tarantino, M.D.,P.a.
Practice addresses (Care Compare)
806 Landmark Dr
Suite 114
Glen Burnie, MD 21061-4966
Phone (410) 590-9260
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul a Tarantino, M.D.,P.a. | Specialist | Current | Accepting new patients |
Locations
806 Landmark Dr
Ste 114
Glen Burnie, MD 21061
Phone (410) 590-9260
1403 Madison Park Dr
Ste 100
Glen Burnie, MD 21061
Phone (410) 582-9630
Interoperability endpoints
- ptarantino24192@direct.umm.edu
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1366475089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 LANDMARK DRIVE",
"address_2": "SUITE 114",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614980",
"telephone_number": "410-590-9260",
"fax_number": "410-590-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 LANDMARK DR",
"address_2": "SUITE 114",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614980",
"telephone_number": "410-590-9260",
"fax_number": "410-590-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANTINO",
"first_name": "PAUL",
"middle_name": "ANGELO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D43467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.