Individual provider Active NPI

Paul Angelo Tarantino, M.D.

  • Specialist
  • Glen Burnie, MD
National Provider Identifier
1366475089
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D43467 Issued in MD
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

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 5991788127, 3 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul a Tarantino, M.D.,P.a. Specialist CurrentSince Dec 1, 1998 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.